Individual provider Active NPI

Emmanuel Rivers, C.S.A.

  • Surgical Assistant
  • Sandy Springs, GA
National Provider Identifier
1013394915
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
2748 Issued in GA
Practice address
227 Sandy Springs PL Ste D-53
Sandy Springs, GA 30328-5918
Phone
(214) 227-2457
Fax
(214) 764-0880
NPI assigned
Apr 29, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Assistant 246ZX2200X 2748 GA
Surgical Assistant 246ZC0007X 2748 GA Primary

Addresses

Primary practice location

227 Sandy Springs PL Ste D-53
Sandy Springs, GA 30328-5918

Mailing address

227 Sandy Springs PL Ste D-53
Sandy Springs, GA 30328-5918
Phone (214) 227-2457

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2748GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sagacity Surgical Group LLC Surgical Assistant CurrentSince Feb 1, 2022 Accepting new patients

Locations

227 Sandy Springs Pl
Ste D53
Sandy Springs, GA 30328

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1430265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1013394915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 SANDY SPRINGS PL STE D-53",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303285918",
            "telephone_number": "214-227-2457",
            "fax_number": "214-764-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 SANDY SPRINGS PL STE D-53",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303285918",
            "telephone_number": "214-227-2457",
            "fax_number": "214-764-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERS",
        "first_name": "EMMANUEL",
        "name_prefix": "Mr.",
        "credential": "C.S.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-29",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZX2200X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Orthopedic Assistant",
            "state": "GA",
            "license": "2748",
            "primary": false
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "GA",
            "license": "2748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.