Peachtree Surgical Associates

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

RN147191 Issued in GA

Legal business name

PEACHTREE SURGICAL ASSOCIATES

Practice address

7742 Spalding Dr Ste 115
Norcross, GA 30092-4207

Phone

(678) 580-2587

NPI assigned

Sep 14, 2012

Last updated

Sep 14, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Clarence A PinkstonNPI 1396094264

Title

Registered Nurse First Assistant

Phone

(678) 580-2587

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Clarence A Pinkston

  • Registered Nurse First Assistant
  • Norcross, GA
  • NPI 1396094264
  Authorized official Same address or phone

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347580800000",
    "number": "1275883464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7742 SPALDING DR STE 115",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300924207",
            "telephone_number": "678-580-2587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7742 SPALDING DR STE 115",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300924207",
            "telephone_number": "678-580-2587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACHTREE SURGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-14",
        "last_updated": "2012-09-14",
        "status": "A",
        "authorized_official_last_name": "PINKSTON",
        "authorized_official_first_name": "CLARENCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "REGISTERED NURSE FIRST ASSISTANT",
        "authorized_official_telephone_number": "678-580-2587"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "GA",
            "license": "RN147191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peachtree Corners Eye Clinic
• Peachtree Diagnostic Laboratories Inc
• Peachtree Ophthalmology LLC
• Peachtree Rapidcare Medical Center Inc
• Peachtree Recovery Solutions
• Peachtree Surgical Associates
• Alyse Pearson-Bryant
• Ann Marie Peck, FNP-C
• Arthur Peddle
• Pediaspeech Services, Inc.

• Registered Nurse First Assistant in Norcross, GA
• Providers in Norcross, GA by specialty
• Registered Nurse First Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; 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.