Georgia Oncologists Assistance

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

1421 Issued in GA

Legal business name

GEORGIA ONCOLOGISTS ASSISTANCE

Practice address

5885 Cumming Hwy
Suite 108 Box 256
Sugar Hill, GA 30518-5765

Phone

(678) 820-9001

NPI assigned

Oct 1, 2015

Last updated

Oct 4, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Scot Forte

Title

PA

Phone

(512) 699-7347

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1443657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443916800000",
    "number": "1073983136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5885 CUMMING HWY",
            "address_2": "SUITE 108 BOX 256",
            "city": "SUGAR HILL",
            "state": "GA",
            "postal_code": "305185765",
            "telephone_number": "678-820-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5885 CUMMING HWY",
            "address_2": "SUITE 108 BOX 256",
            "city": "SUGAR HILL",
            "state": "GA",
            "postal_code": "305185765",
            "telephone_number": "678-820-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA ONCOLOGISTS ASSISTANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-01",
        "last_updated": "2015-10-04",
        "status": "A",
        "authorized_official_last_name": "FORTE",
        "authorized_official_first_name": "SCOT",
        "authorized_official_title_or_position": "PA",
        "authorized_official_telephone_number": "512-699-7347"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "GA",
            "license": "1421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgical Physician Assistant in Sugar Hill, GA
• Providers in Sugar Hill, 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 Oct 4, 2015; 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.