Mainestate Surgical Services, LLC

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

16052680 Issued in GA

Legal business name

MAINESTATE SURGICAL SERVICES, LLC

Practice address

1720 Shire Village Dr
Sugar Hill, GA 30518-2922

Phone

(678) 332-8596

NPI assigned

Jun 15, 2016

Last updated

Jun 15, 2016By 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

Mr. Vernon George Rouzeau-Saunders, RN, RNFANPI 1003286717

Title

Ceo

Phone

(678) 332-8596

Specialties & licenses 1

Addresses

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.

• Vernon George Rouzeau-Saunders, RN, RNFA

  • Surgical Physician Assistant
  • Sugar Hill, GA
  • NPI 1003286717
  NPD (past) Authorized official

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465948800000",
    "number": "1366892952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 SHIRE VILLAGE DR",
            "city": "SUGAR HILL",
            "state": "GA",
            "postal_code": "305182922",
            "telephone_number": "678-332-8596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 SHIRE VILLAGE DR",
            "city": "SUGAR HILL",
            "state": "GA",
            "postal_code": "305182922",
            "telephone_number": "678-332-8596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINESTATE SURGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-15",
        "last_updated": "2016-06-15",
        "status": "A",
        "authorized_official_last_name": "ROUZEAU-SAUNDERS",
        "authorized_official_first_name": "VERNON",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-332-8596",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN, RNFA"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "GA",
            "license": "16052680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Nurse First Assistant in Sugar Hill, GA
• Providers in Sugar Hill, GA by specialty
• Registered Nurse First Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; 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.