Active NPI
Levesque's Surgical Services LLC
- Surgical Assistant
- Brookhaven, GA
National Provider Identifier
1184535635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- Legal business name
- LEVESQUE'S SURGICAL SERVICES LLC
- Practice address
- 1400 Lake Hearn Dr NE Apt 4507
Brookhaven, GA 30319-1867 - Phone
- (678) 592-2812
- NPI assigned
- Sep 14, 2026
- 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
- Elijah Michael Levesque, CSFA
- Title
- Owner
- Phone
- (678) 592-2812
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | Primary |
Addresses
Primary practice location
1400 Lake Hearn Dr NE Apt 4507
Brookhaven, GA 30319-1867
Mailing address
1400 Lake Hearn Dr NE Apt 4507
Brookhaven, GA 30319-1867
Phone (678) 592-2812
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789344000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789344000000",
"number": "1184535635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 LAKE HEARN DR NE APT 4507",
"city": "BROOKHAVEN",
"state": "GA",
"postal_code": "303191867",
"telephone_number": "678-592-2812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 LAKE HEARN DR NE APT 4507",
"city": "BROOKHAVEN",
"state": "GA",
"postal_code": "303191867",
"telephone_number": "678-592-2812"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEVESQUE'S SURGICAL SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-14",
"last_updated": "2026-09-14",
"certification_date": "2026-09-14",
"status": "A",
"authorized_official_last_name": "LEVESQUE",
"authorized_official_first_name": "ELIJAH",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "678-592-2812",
"authorized_official_credential": "CSFA"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookhaven, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.