Organization Active NPI

Apex Surgical Associates, LLC

  • Registered Nurse First Assistant
  • Marietta, GA
National Provider Identifier
1053467183
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
Legal business name
APEX SURGICAL ASSOCIATES, LLC
Practice address
2900 Delk Rd SE
Suite 700 RM 166
Marietta, GA 30067-5320
Phone
(770) 509-9801
NPI assigned
Jan 25, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Karen E Boullain, RNFANPI 1205815230
Title
President and Ceo
Phone
(770) 509-9801

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X NU Primary

Addresses

Primary practice location

2900 Delk Rd SE
Suite 700 RM 166
Marietta, GA 30067-5320

Mailing address

2900 Delk Rd SE
Suite 700 RM 166
Marietta, GA 30067-5320
Phone (770) 509-9801

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053467183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 DELK RD SE",
            "address_2": "SUITE 700 RM 166",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300675320",
            "telephone_number": "770-509-9801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 DELK RD SE",
            "address_2": "SUITE 700 RM 166",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300675320",
            "telephone_number": "770-509-9801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APEX SURGICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOULLAIN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "770-509-9801",
        "authorized_official_credential": "RNFA"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.