Organization Active NPI

Lencia Technology LLC

  • Surgical Physician Assistant
  • Conyers, GA
National Provider Identifier
1144988189
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
LENCIA TECHNOLOGY LLC
Practice address
1600 Sugarmaple LN SW
Conyers, GA 30094-6282
Phone
(770) 985-4257
NPI assigned
Dec 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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

Authorized official

Name
Valencia TuteinNPI 1003268756
Title
Owner
Phone
(770) 985-4257

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AS0400X Primary

Addresses

Primary practice location

1600 Sugarmaple LN SW
Conyers, GA 30094-6282

Mailing address

PO Box 81793
Conyers, GA 30013-9425

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.

NPI Registry JSON

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

{
    "created_epoch": "1638835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638835200000",
    "number": "1144988189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 81793",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300139425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SUGARMAPLE LN SW",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300946282",
            "telephone_number": "770-985-4257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LENCIA TECHNOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-07",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A",
        "authorized_official_last_name": "TUTEIN",
        "authorized_official_first_name": "VALENCIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-985-4257"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; 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.