Aa Surgical LLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

AA SURGICAL LLC

Practice address

4151 Praline CT
Marietta, GA 30066-2394

Phone

(770) 882-5276

NPI assigned

Jul 17, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Aneeta Anderson, CSANPI 1508918475

Title

Csa

Phone

(770) 882-5276

Specialties & licenses 1

Addresses

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.

• Aneeta Anderson, FIRST ASSISTANT

  • Surgical Physician Assistant
  • Marietta, GA
  • NPI 1508918475
  NPD Authorized official

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721174400000",
    "number": "1245078955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4151 PRALINE CT",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300662394",
            "telephone_number": "770-882-5276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4151 PRALINE CT",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300662394",
            "telephone_number": "770-882-5276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AA SURGICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "ANEETA",
        "authorized_official_title_or_position": "CSA",
        "authorized_official_telephone_number": "770-882-5276",
        "authorized_official_name_prefix": "Mrs.",
        "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 Marietta, GA
• Providers in Marietta, 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 Jul 17, 2024; 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.