NPIMap

Organization Active NPI

United Surgical Associates, Inc

  • Surgical Physician Assistant
  • Peachtree City, GA
National Provider Identifier
1184943391
Registry record updated May 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
2705 Issued in GA
Legal business name
UNITED SURGICAL ASSOCIATES, INC
Practice address
401 Majestic CT
Peachtree City, GA 30269-4075
Phone
(678) 662-8792
Fax
(770) 486-6671
NPI assigned
May 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2010

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

Authorized official

Name
Anthony Robinson, CSA
Title
Owner/President
Phone
(678) 662-8792

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AS0400X 2705 GA Primary

Addresses

Primary practice location

401 Majestic CT
Peachtree City, GA 30269-4075

Mailing address

P. O. Box 680
Fayetteville, GA 30269
Phone (678) 662-8792

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1274918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274918400000",
    "number": "1184943391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P. O. BOX 680",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "30269",
            "telephone_number": "678-662-8792",
            "fax_number": "770-486-6671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 MAJESTIC CT",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302694075",
            "telephone_number": "678-662-8792",
            "fax_number": "770-486-6671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED SURGICAL ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-27",
        "last_updated": "2010-05-27",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "678-662-8792",
        "authorized_official_credential": "CSA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "GA",
            "license": "2705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree City, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2010; 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.