Organization Active NPI

Levesque's Surgical Services LLC

  • Surgical Assistant
  • Brookhaven, GA
National Provider Identifier
1184535635
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
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
Last updated
Sep 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Authorized official

Name
Elijah Michael Levesque, CSFANPI 1972412278
Title
Owner
Phone
(678) 592-2812

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 AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 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

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, and the practitioner matching its NPPES authorized official.

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.