Active NPI
Geocobi C Nnadi, CSFA
- Surgical Assistant
- Cumming, GA
National Provider Identifier
1346993987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 207716
- Practice address
- 1200 Northside Forsyth Dr
Cumming, GA 30041-7659 - Phone
- (770) 844-3200
- NPI assigned
- Feb 3, 2022
- Last updated
- Feb 3, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 207716 | GA | |
| Surgical Assistant | 246ZC0007X | 207716 | GA | Primary |
Addresses
Primary practice location
1200 Northside Forsyth Dr
Cumming, GA 30041-7659
Mailing address
2780 Evan Manor LN
Cumming, GA 30041-6678
Phone (337) 422-8647
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 207716 | GA | MD | Surgical Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A - One Assisting, LLC | Multi-Specialty | Current | Accepting new patients |
Locations
1200 Northside Forsyth Dr
Cumming, GA 30041
Phone (770) 292-4806
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643846400000",
"number": "1346993987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2780 EVAN MANOR LN",
"city": "CUMMING",
"state": "GA",
"postal_code": "300416678",
"telephone_number": "337-422-8647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 NORTHSIDE FORSYTH DR",
"city": "CUMMING",
"state": "GA",
"postal_code": "300417659",
"telephone_number": "770-844-3200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NNADI",
"first_name": "GEOCOBI",
"middle_name": "C",
"credential": "CSFA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-02-03",
"last_updated": "2022-02-03",
"certification_date": "2022-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "GA",
"license": "207716",
"primary": false
},
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "GA",
"license": "207716",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cumming, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.