Advanced Surgical Specialists of Northeast Georgia, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

033440 Issued in GA

Legal business name

ADVANCED SURGICAL SPECIALISTS OF NORTHEAST GEORGIA, LLC

Practice address

1359 Milstead Rd NE
Suite 203
Conyers, GA 30012-3865

Phone

(678) 413-2182

Fax

(678) 413-2184

NPI assigned

Nov 13, 2007

Last updated

Sep 5, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kermie Lenard Robinson, M.D., F.A.C.S.NPI 1104840156

Title

Owner, Sole Proprieter

Phone

(678) 413-2182

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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.

• Kermie Lenard Robinson, M.D.

  • Surgery Physician
  • Las Cruces, NM
  • NPI 1104840156
  NPD (past) Authorized official

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220572800000",
    "number": "1346420858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1359 MILSTEAD RD NE",
            "address_2": "SUITE 203",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123865",
            "telephone_number": "678-413-2182",
            "fax_number": "678-413-2184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1359 MILSTEAD RD NE",
            "address_2": "SUITE 203",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123865",
            "telephone_number": "678-413-2182",
            "fax_number": "678-413-2184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SURGICAL SPECIALISTS OF NORTHEAST GEORGIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2008-09-05",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "KERMIE",
        "authorized_official_middle_name": "LENARD",
        "authorized_official_title_or_position": "OWNER, SOLE PROPRIETER",
        "authorized_official_telephone_number": "678-413-2182",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., F.A.C.S."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "033440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD GROUP",
            "identifier": "DE9275",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000458092C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olapeju Grace Aderinwale, PHARMD
• Brian C Adkisson, RN
• Adult Health Consultants of Atlanta, P.C.
• Advanced Gynecology, PC (Advanced Gynecology Conyers)
• Advanced Southern Imaging LLC
• Advanced Urology Institute of Georgia LLC
• Aica Orthopedics, P. C.
• Aica Orthopedics, P.C.
• Aimergency Connect Psychcare
• Oluwayomi S Akande, M.D.

• Specialist in Conyers, GA
• Providers in Conyers, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2008; 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.