Active NPI
United Surgical Associates, Inc
- Surgical Physician Assistant
- Peachtree City, GA
National Provider Identifier
1184943391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 2705
- 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
- Last updated
- May 27, 2010
- 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
- Anthony Robinson, CSA
- Title
- Owner/President
- Phone
- (678) 662-8792
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 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 DirectoryPractitioners & 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.
-
- Surgery Physician
- Fayetteville, GA
- NPI 1871692517
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.