Stellar Surgical Assisting

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

STELLAR SURGICAL ASSISTING

Practice address

3446 Winder Hwy Ste M-322
Flowery Branch, GA 30542-3007

Phone

(470) 925-2802

NPI assigned

Dec 22, 2019

Organization subpart

No

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

Authorized official

Name

Christopher Coles, SA-C

Title

Ceo

Phone

(470) 925-2802

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1576972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576972800000",
    "number": "1265071229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3446 WINDER HWY STE M-322",
            "city": "FLOWERY BRANCH",
            "state": "GA",
            "postal_code": "305423007",
            "telephone_number": "470-925-2802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3446 WINDER HWY STE M-322",
            "city": "FLOWERY BRANCH",
            "state": "GA",
            "postal_code": "305423007",
            "telephone_number": "470-925-2802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STELLAR SURGICAL ASSISTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-22",
        "last_updated": "2019-12-22",
        "certification_date": "2019-12-22",
        "status": "A",
        "authorized_official_last_name": "COLES",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "470-925-2802",
        "authorized_official_credential": "SA-C"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Cristina Snyder, DO
• Rebecca Soles, MSOT, OTR/L
• Michael Soto, MD
• Robin Renee States, LPN
• Samantha Steele, MBA, ATC, LAT, CEIS
• Kacee Stevens, PT, DPT
• Kelly Stockdale, LPC
• Stone Chiropractic and Rehabilitation
• Bobby Wayne Stone Jr., D.C.
• Jonathan Stone, D.C.

• Surgical Physician Assistant in Flowery Branch, GA
• Providers in Flowery Branch, 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 Dec 22, 2019; 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.