Active NPI
Carmen Waugh, CSA
- Surgical Assistant
- Braselton, GA
National Provider Identifier
1275087462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 4847
- 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, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00000000 | Other | GA | CIGNA. BLUE CROSS, BLUE SHIELD, AETNA |
| 4847 | Other | GA | CERTIFICATION |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4847 | GA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Surgical Assistant
- Braselton, GA
- NPI 1679010458
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.