Individual provider Active NPI

Carmen Waugh, CSA

  • Surgical Assistant
  • Braselton, GA
National Provider Identifier
1275087462
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
4847 Issued in GA
Practice address
2095 Highway 211 NW # 147-2F
Braselton, GA 30517-3402
Phone
(678) 789-3057
NPI assigned
Aug 5, 2016
Last updated
Aug 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X 4847 GA Primary

Addresses

Primary practice location

2095 Highway 211 NW # 147-2F
Braselton, GA 30517-3402

Mailing address

8108 Rosefinch LNDG
Hoschton, GA 30548-4244
Phone (678) 789-3057

Other identifiers 2

IdentifierTypeStateIssuer
00000000OtherGACIGNA. BLUE CROSS, BLUE SHIELD, AETNA
4847OtherGACERTIFICATION

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4847GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Surgical Assisting by Carmen Surgical Assistant Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1470355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1275087462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8108 ROSEFINCH LNDG",
            "city": "HOSCHTON",
            "state": "GA",
            "postal_code": "305484244",
            "telephone_number": "678-789-3057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2095 HIGHWAY 211 NW # 147-2F",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "305173402",
            "telephone_number": "678-789-3057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAUGH",
        "first_name": "CARMEN",
        "credential": "CSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-05",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "GA",
            "license": "4847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA. BLUE CROSS, BLUE SHIELD, AETNA",
            "identifier": "00000000",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICATION",
            "identifier": "4847",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Braselton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; 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.