Surgical 1St, Inc.

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

RN100039 Issued in GA

Legal business name

SURGICAL 1ST, INC.

Practice address

859 Ector Chase NW
Kennesaw, GA 30152-4788

Phone

(770) 427-5114

Fax

(770) 427-6396

NPI assigned

May 8, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Jewel B Montgomery, RNFANPI 1417004086

Title

Owner

Phone

(770) 427-5114

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jewel B Montgomery, RN

  • Medical-Surgical Registered Nurse
  • Kennesaw, GA
  • NPI 1417004086
  NPD (past) Authorized official
• Eric Irby, CERT. FIRST ASSIST

  • Surgical Technologist
  • Kennesaw, GA
  • NPI 1053463174
  NPD (past)

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306895362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "859 ECTOR CHASE NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301524788",
            "telephone_number": "770-427-5114",
            "fax_number": "770-427-6396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "859 ECTOR CHASE NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301524788",
            "telephone_number": "770-427-5114",
            "fax_number": "770-427-6396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL 1ST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "JEWEL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-427-5114",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RNFA"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "GA",
            "license": "RN100039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Todd M Supnick, DC
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• Naeha Patel Sur, MS, OTR/L, CLC
• Kyeara Sutherland
• Taylor Jo Swan, BA
• Whitney Nicole Swanson, ATC
• Tonika J Swint, FNP
• Fawaz Hassan Syed

• Medical-Surgical Registered Nurse in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Medical-Surgical Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.