Organization Active NPI

Surgical Evolution LLC

  • Durable Medical Equipment & Medical Supplies
  • Atlanta, GA
National Provider Identifier
1144864844
Registry record updated Nov 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SURGICAL EVOLUTION LLC
Practice address
4516 Collins Ave
Atlanta, GA 30342-4125
Phone
(404) 803-1178
NPI assigned
Nov 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2019

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

Authorized official

Name
Mr. Benjamin Britten Chandler
Title
Managing Member
Phone
(404) 803-1178

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

4516 Collins Ave
Atlanta, GA 30342-4125

Mailing address

4516 Collins Ave
Atlanta, GA 30342-4125
Phone (404) 803-1178

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572912000000",
    "number": "1144864844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4516 COLLINS AVE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303424125",
            "telephone_number": "404-803-1178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4516 COLLINS AVE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303424125",
            "telephone_number": "404-803-1178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL EVOLUTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-05",
        "last_updated": "2019-11-05",
        "status": "A",
        "authorized_official_last_name": "CHANDLER",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "BRITTEN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "404-803-1178",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "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 Nov 5, 2019; 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.