Midtown Surgical Assistants

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

3225 Issued in GA

Legal business name

MIDTOWN SURGICAL ASSISTANTS

Practice address

11 Carriage Lake Dr
Stockbridge, GA 30281

Phone

(404) 446-7169

NPI assigned

Sep 8, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Royce Duvall Tate, CSA

Title

Certified Surgical Assistant

Phone

(404) 446-7169

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1441670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441670400000",
    "number": "1174991269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 CARRIAGE LAKE DR",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816276",
            "telephone_number": "404-446-7169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 CARRIAGE LAKE DR",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "30281",
            "telephone_number": "404-446-7169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDTOWN SURGICAL ASSISTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-08",
        "last_updated": "2015-09-08",
        "status": "A",
        "authorized_official_last_name": "TATE",
        "authorized_official_first_name": "ROYCE",
        "authorized_official_middle_name": "DUVALL",
        "authorized_official_title_or_position": "CERTIFIED SURGICAL ASSISTANT",
        "authorized_official_telephone_number": "404-446-7169",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CSA"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "GA",
            "license": "3225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MH Practice and Billing LLC
• Clarissa Michel, DPT
• Michael D Michel, MD
• Michelle at the Healing Center Atlanta
• Alnisha Mickle
• Nekeisha Miles-Taylor
• Lakriesha Millay
• Jill Dana Miller, M.D.
• Mackenzie Miller, PT, DPT
• Sharon Denise Miller, M. A. CCC/SLP

• General Acute Care Hospital in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• General Acute Care Hospital in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.