NPIMap

Organization Active NPI

Elitess Surgical Service

  • Surgical Physician Assistant
  • Atlanta, GA
National Provider Identifier
1043775588
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
ELITESS SURGICAL SERVICE
Practice address
245 N Highland Ave
Ste 230-451
Atlanta, GA 30307-1936
Phone
(404) 935-2189
Fax
(888) 265-5564
NPI assigned
Feb 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Authorized official

Name
Mr. Adam Smart, CSFANPI 1093816704
Title
Owner
Phone
(404) 935-2189

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AS0400X Primary

Addresses

Primary practice location

245 N Highland Ave
Ste 230-451
Atlanta, GA 30307-1936

Mailing address

245 N Highland Ave
Ste 230-451
Atlanta, GA 30307-1936
Phone (404) 935-2189

Other practice location 1

245 N Highland Ave NE Ste 230-451
Atlanta, GA 30307-1936
Phone (404) 935-2189

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1549584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633392000000",
    "number": "1043775588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 N HIGHLAND AVE",
            "address_2": "STE 230-451",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303071936",
            "telephone_number": "404-935-2189",
            "fax_number": "888-265-5564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 N HIGHLAND AVE",
            "address_2": "STE 230-451",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303071936",
            "telephone_number": "404-935-2189",
            "fax_number": "888-265-5564"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "245 N Highland Ave NE Ste 230-451",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303071936",
            "country_code": "US",
            "telephone_number": "404-935-2189",
            "fax_number": "888-265-5564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELITESS SURGICAL SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-08",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "SMART",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-935-2189",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CSFA"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "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": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; 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.