Organization Active NPI

MM Surgical Services, LLC

  • Surgical Assistant
  • Lawrenceville, GA
National Provider Identifier
1235628256
Registry record updated May 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
Legal business name
MM SURGICAL SERVICES, LLC
Practice address
930 New Hope Rd
Suite 11-526
Lawrenceville, GA 30045
Phone
(404) 921-4973
NPI assigned
May 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2018

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

Authorized official

Name
Minela MahmutovicNPI 1336636679
Title
Csfa
Phone
(404) 921-4973

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 GA Primary

Addresses

Primary practice location

930 New Hope Rd
Suite 11-526
Lawrenceville, GA 30045

Mailing address

930 New Hope Rd
Suite 11-526
Lawrenceville, GA 30045
Phone (404) 921-4973

National Provider Directory

National Provider Directory

Locations

930 New Hope Rd
Ste 11526
Lawrenceville, GA 30045
Phone (404) 921-4973

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1525392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526342400000",
    "number": "1235628256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 NEW HOPE RD",
            "address_2": "SUITE 11-526",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "30045",
            "telephone_number": "404-921-4973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 NEW HOPE RD",
            "address_2": "SUITE 11-526",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "30045",
            "telephone_number": "404-921-4973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MM SURGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-04",
        "last_updated": "2018-05-15",
        "status": "A",
        "authorized_official_last_name": "MAHMUTOVIC",
        "authorized_official_first_name": "MINELA",
        "authorized_official_title_or_position": "CSFA",
        "authorized_official_telephone_number": "404-921-4973"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; 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.