Active NPI
Fast Surgical Services
- Surgical Assistant
- Canton, GA
National Provider Identifier
1093190837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 153136
- Legal business name
- FAST SURGICAL SERVICES
- Practice address
- 201 Hospital Rd
Canton, GA 30114-2408 - Phone
- (770) 720-5100
- NPI assigned
- Jul 22, 2015
- Last updated
- Jul 22, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tracy C Echuck, CSFA
- Title
- President
- Phone
- (770) 480-1311
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 153136 | GA | Primary |
| Surgical Technologist | 246ZS0410X | 151286 | GA |
Addresses
Primary practice location
201 Hospital Rd
Canton, GA 30114-2408
Mailing address
PO Box 1186
Ball Ground, GA 30107-1102
Phone (770) 480-1311
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Surgical Assistant
- Dawsonville, GA
- NPI 1275911083
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437523200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1437523200000",
"number": "1093190837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1186",
"city": "BALL GROUND",
"state": "GA",
"postal_code": "301071102",
"telephone_number": "770-480-1311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 HOSPITAL RD",
"city": "CANTON",
"state": "GA",
"postal_code": "301142408",
"telephone_number": "770-720-5100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAST SURGICAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-22",
"last_updated": "2015-07-22",
"status": "A",
"authorized_official_last_name": "ECHUCK",
"authorized_official_first_name": "TRACY",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "770-480-1311",
"authorized_official_credential": "CSFA"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "GA",
"license": "153136",
"primary": true
},
{
"code": "246ZS0410X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other, Surgical Technologist",
"state": "GA",
"license": "151286",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.