Sgi Surgical Care Incorporated

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

SGI SURGICAL CARE INCORPORATED

Practice address

863 Flat Shoals Rd SE Ste C238
Conyers, GA 30094-6633

Phone

(770) 354-6940

NPI assigned

Sep 19, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Stephanie Ingram, CSANPI 1154595676

Title

Certified Surgical Assistant

Phone

(770) 354-6940

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie Ingram, CSA

  • Surgical Physician Assistant
  • Conyers, GA
  • NPI 1154595676
  NPD Authorized official

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

{
    "created_epoch": "1442620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652140800000",
    "number": "1215306295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "863 FLAT SHOALS RD SE STE C238",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300946633",
            "telephone_number": "770-354-6940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "863 FLAT SHOALS RD SE STE C238",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300946633",
            "telephone_number": "770-354-6940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SGI SURGICAL CARE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-19",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A",
        "authorized_official_last_name": "INGRAM",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CERTIFIED SURGICAL ASSISTANT",
        "authorized_official_telephone_number": "770-354-6940",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CSA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgical Physician Assistant in Conyers, GA
• Providers in Conyers, GA by specialty
• Surgical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; 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.