Active NPI
Pelican, Inc
- Registered Nurse First Assistant
- Austell, GA
National Provider Identifier
1285011809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse First Assistant
- Legal business name
- PELICAN, INC
- Practice address
- 3961 Floyd Road
Suite 300-350
Austell, GA 30106-8536 - Phone
- (404) 226-7769
- NPI assigned
- May 4, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Yul Brian Gash, RNFA
- Title
- Owner
- Phone
- (404) 226-7769
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse First Assistant | 163WR0006X | Primary |
Addresses
Primary practice location
3961 Floyd Road
Suite 300-350
Austell, GA 30106-8536
Mailing address
3961 Floyd Road
Suite 300-350
Austell, GA 30106-8536
Phone (404) 226-7769
National Provider Directory
National Provider Directory- Tax ID family
- Pelican Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Surgical Physician Assistant
- Atlanta, GA
- NPI 1649497595
Locations
3961 Floyd Rd
Ste 300350
Austell, GA 30106
Phone (404) 226-7769
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Nurse First Assistant
- Austell, GA
- NPI 1326160516
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430697600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1445904000000",
"number": "1285011809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3961 FLOYD ROAD",
"address_2": "SUITE 300-350",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301068536",
"telephone_number": "404-226-7769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3961 FLOYD ROAD",
"address_2": "SUITE 300-350",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301068536",
"telephone_number": "404-226-7769"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PELICAN, INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-04",
"last_updated": "2015-10-27",
"status": "A",
"authorized_official_last_name": "GASH",
"authorized_official_first_name": "YUL",
"authorized_official_middle_name": "BRIAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "404-226-7769",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RNFA"
},
"taxonomies": [
{
"code": "163WR0006X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Registered Nurse First Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.