Surgical Medical Associate Corporation, Inc

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

SURGICAL MEDICAL ASSOCIATE CORPORATION, INC

Practice address

4524 Sequoia Park TRL
Snellville, GA 30039-2765

Phone

(770) 985-4257

NPI assigned

Apr 23, 2007

Organization subpart

No

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

Authorized official

Name

Anthony Allen

Title

Owner

Phone

(770) 985-4257

Specialties & licenses 1

Addresses

Tax ID family

Surgical Medical Associate Corporation Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Surgical Medical Associates

  • Physician Assistant
  • Conyers, GA
  • NPI 1447419106
  NPD tax ID

Practitioners 1

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

• Claudette Bryant, PA

  • Surgical Physician Assistant
  • Lawrenceville, GA
  • NPI 1699056945
  NPD (past)

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225256621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 391824",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300390031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4524 SEQUOIA PARK TRL",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300392765",
            "telephone_number": "770-985-4257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL MEDICAL ASSOCIATE CORPORATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-985-4257"
    },
    "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 Snellville, GA
• Providers in Snellville, 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 Aug 22, 2020; 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.