Hillandale Surgical Group

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

051545 Issued in GA

Legal business name

HILLANDALE SURGICAL GROUP

Practice address

5910 Hillandale Dr Ste 209
Lithonia, GA 30058-1878

Phone

(404) 294-0257

NPI assigned

Oct 5, 2007

Organization subpart

No

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

Authorized official

Name

Andre Scott, MD

Title

President

Phone

(404) 294-0257

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1255529061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5910 HILLANDALE DR STE 209",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300581878",
            "telephone_number": "404-294-0257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5910 HILLANDALE DR STE 209",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300581878",
            "telephone_number": "404-294-0257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLANDALE SURGICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-294-0257",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "GA",
            "license": "051545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Denise Hicks, RN
• Angela Hill
• Hillandale Internal Medicine, PC
• Hillandale Medical Associates, PC
• Hillandale Primary Care
• Latasha Hillman
• Kya Hines, RBT
• His Grace Home Care LLC
• Latosha Hobbs, FNP-C
• Sandra Marie Hodge

• Surgery Physician in Lithonia, GA
• Providers in Lithonia, GA by specialty
• Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; 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.