Active NPI
Oasis Surgical Assistants L.L.C.
- Surgical Physician Assistant
- Acworth, GA
National Provider Identifier
1336561133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 4019
- Legal business name
- OASIS SURGICAL ASSISTANTS L.L.C.
- Practice address
- 6110 Cedarcrest Rd NW
Suite 350-184
Acworth, GA 30101-9539 - Phone
- (770) 875-1243
- Fax
- (404) 464-0781
- NPI assigned
- Jan 13, 2014
- Last updated
- Jan 13, 2014
- 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
- Herbert Louis Cousin Jr., CSA
- Title
- Owner
- Phone
- (770) 875-1243
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 4019 | GA | Primary |
Addresses
Primary practice location
6110 Cedarcrest Rd NW
Suite 350-184
Acworth, GA 30101-9539
Mailing address
6110 Cedarcrest Rd NW
Suite 350-184
Acworth, GA 30101-9539
Phone (770) 875-1243
National Provider Directory
National Provider DirectoryLocations
6110 Cedarcrest Rd NW
Ste 350184
Acworth, GA 30101
Phone (470) 336-8190
Practitioners & affiliated clinicians
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.
-
- Registered Nurse First Assistant
- Acworth, GA
- NPI 1952727042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389571200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1389571200000",
"number": "1336561133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6110 CEDARCREST RD NW",
"address_2": "SUITE 350-184",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301019539",
"telephone_number": "770-875-1243",
"fax_number": "404-464-0781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6110 CEDARCREST RD NW",
"address_2": "SUITE 350-184",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301019539",
"telephone_number": "770-875-1243",
"fax_number": "404-464-0781"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OASIS SURGICAL ASSISTANTS L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-13",
"last_updated": "2014-01-13",
"status": "A",
"authorized_official_last_name": "COUSIN",
"authorized_official_first_name": "HERBERT",
"authorized_official_middle_name": "LOUIS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "770-875-1243",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "CSA"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "GA",
"license": "4019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Acworth, GA
- Karen O'Malley, M.S., LMFT, RPT
- Meghan O'Malley
- Kevin Michael O'Neill, MS, OTR/L
- Terrence Michael O'Shea, D.D.S.
- Oasis Surgical Assistants Group Resources L.L.C.
- Oasis Surgical Assistants, LLC
- Uzoamaka Connie Obiekwe
- Carroll G Odem, MD
- Odp of Northwest Georgia PC (Cedarcrest Childrens Dentistry)
- Kayleigh Oesterle, OTD, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.