Classic City Surgical Assistants LLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

CLASSIC CITY SURGICAL ASSISTANTS LLC

Practice address

1230 Baxter St
Athens, GA 30606-3712

Phone

(706) 202-5866

NPI assigned

Jul 13, 2022

Organization subpart

No

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

Authorized official

Name

Caroline Batson, CSFANPI 1316450216

Title

Owner

Phone

(706) 202-5866

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Caroline B Batson, CSFA

  • Surgical Physician Assistant
  • Athens, GA
  • NPI 1316450216

  Surgical Assistant

  NPD Authorized official

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

{
    "created_epoch": "1657670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659398400000",
    "number": "1033843305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 942",
            "city": "COLBERT",
            "state": "GA",
            "postal_code": "306280942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 BAXTER ST",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306063712",
            "telephone_number": "706-202-5866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1199 Prince Ave",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "306062797",
            "country_code": "US",
            "telephone_number": "706-202-5866",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5401 Lake Oconee Pkwy",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "GA",
            "postal_code": "306424232",
            "country_code": "US",
            "telephone_number": "706-202-5833",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1765 Old West Broad St Bldg 1-300",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "306062887",
            "country_code": "US",
            "telephone_number": "706-202-5866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CLASSIC CITY SURGICAL ASSISTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-13",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A",
        "authorized_official_last_name": "BATSON",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-202-5866",
        "authorized_official_credential": "CSFA"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Classic City Home Care LLC
• Classic City Internal Medicine
• Classic City OBGYN LLC
• Classic City Orthodontics
• Classic City Rehab LLC
• Rachel Corinne Clay, D.D.S.
• George Cleland, MD
• Nicholas Benjamin Clemmons
• Sarah Clemmons
• Janna Barham Cleveland, FNP-BC

• Surgical Physician Assistant in Athens, GA
• Providers in Athens, GA by specialty
• Surgical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.