Organization Active NPI

Atlanta Surgical Assistance

  • Women's Health Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1336458280
Registry record updated Sep 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
RN130308NP Issued in GA
Legal business name
ATLANTA SURGICAL ASSISTANCE
Practice address
105 Collier Rd NW Ste 1080
Atlanta, GA 30309-1753
Phone
(404) 352-2850
Fax
(888) 329-6432
NPI assigned
Sep 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2010

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

Authorized official

Name
Janet A Dortch, NPNPI 1396990990
Title
President
Phone
(404) 797-2497

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LW0102X RN130308NP GA Primary

Addresses

Primary practice location

105 Collier Rd NW Ste 1080
Atlanta, GA 30309-1753

Mailing address

3466 Mark Hall Dr NE
Marietta, GA 30062-5342
Phone (770) 565-1276

National Provider Directory

National Provider Directory

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": "1285545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285545600000",
    "number": "1336458280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3466 MARK HALL DR NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300625342",
            "telephone_number": "770-565-1276",
            "fax_number": "888-329-6432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 COLLIER RD NW STE 1080",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091753",
            "telephone_number": "404-352-2850",
            "fax_number": "888-329-6432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA SURGICAL ASSISTANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-27",
        "last_updated": "2010-09-27",
        "status": "A",
        "authorized_official_last_name": "DORTCH",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-797-2497",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "GA",
            "license": "RN130308NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2010; 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.