Scot G Forte, CSA

Individual provider Active NPI Surgical Assistant · Suwanee, GA

NPI 1265403174 · NPPES record last updated Jun 21, 2022

Key facts

NPI
1265403174
Entity type
Individual (NPI type 1)
Primary specialty
Surgical Assistant 246ZC0007X
License
1421 (GA)
Practice address
5245 Antler CT
Suwanee, GA 30024-4114
Phone
(214) 227-2457
Fax
(214) 764-0880
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1421GAMDAddiction (Substance Use Disorder) Counselor
SA00070TXMDSurgical Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
A Surgeon'S First Assistance LLC Surgical Assistant Current
since Jun 26, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X SA00070 TX
Surgical Technologist 246ZS0410X
Surgical Physician Assistant 363AS0400X 1421 GA
Surgical Assistant 246ZC0007X 1421 GA Yes

Addresses

Primary practice location

5245 Antler CT
Suwanee, GA 30024-4114

Mailing address

PO Box 3021
Duluth, GA 30096-0052
Phone (214) 227-2457

Other providers in Suwanee, GA

All providers in Suwanee, GA · Surgical Assistant in Georgia

Sources for this page

Verify at the official NPI Registry.