Georgia Surgical Staffing, LLC

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

RN054026 Issued in GA

Legal business name

GEORGIA SURGICAL STAFFING, LLC

Practice address

78 Dawson Village Way N
Suite 140, PMB-13
Dawsonville, GA 30534-7168

Phone

(770) 312-0477

NPI assigned

Nov 28, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Alan Couch, CRNFA

Title

President

Phone

(770) 312-0477

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396915200000",
    "number": "1053488023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 DAWSON VILLAGE WAY N",
            "address_2": "SUITE 140, PMB-13",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305347168",
            "telephone_number": "770-312-0477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 DAWSON VILLAGE WAY N",
            "address_2": "SUITE 140, PMB-13",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305347168",
            "telephone_number": "770-312-0477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA SURGICAL STAFFING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2014-04-08",
        "status": "A",
        "authorized_official_last_name": "COUCH",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-312-0477",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNFA"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "GA",
            "license": "RN054026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "52821397",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Registered Nurse First Assistant in Dawsonville, GA
• Providers in Dawsonville, GA by specialty
• Registered Nurse First Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; 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.