Organization Active NPI

Pelican, Inc

  • Registered Nurse First Assistant
  • Austell, GA
National Provider Identifier
1285011809
Registry record updated Oct 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
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

Updated by the provider on Oct 27, 2015

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)CodeLicenseStatePrimary
Registered Nurse First AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 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 Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

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.

Verify at the official NPI Registry.