Gemini Surgical Services, Inc.

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

GEMINI SURGICAL SERVICES, INC.

Practice address

1307 W Garmon Rd
Atlanta, GA 30327-4405

Phone

(678) 951-4576

NPI assigned

Oct 19, 2018

Organization subpart

No

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

Authorized official

Name

Amanda Von Der Schulenburg

Title

Owner/President

Phone

(678) 951-4576

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1539907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539907200000",
    "number": "1154897981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 W GARMON RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303274405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 W GARMON RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303274405",
            "telephone_number": "678-951-4576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEMINI SURGICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-19",
        "last_updated": "2018-10-19",
        "status": "A",
        "authorized_official_last_name": "VON DER SCHULENBURG",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "678-951-4576"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619951985",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Lynn Geller, M.D.
• Robert Jerome Geller, MD
• Alexandra Rose Gellin, MS
• Ariel Gellis
• Michael Louis Gellman, D.C.
• Aryonne Genaelink
• Megan Gendron, LMSW
• Genea Group, LLC
• Generation 3G LLC
• Generational Legacy Builders

• Surgical Physician Assistant in Atlanta, GA
• Providers in Atlanta, 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 19, 2018; 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.