Organization Active NPI

Precision Surgical Associates of Atlanta

  • Surgery Physician
  • Atlanta, GA
National Provider Identifier
1376696153
Registry record updated Apr 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
PRECISION SURGICAL ASSOCIATES OF ATLANTA
Practice address
550 Peachtree St NE
Suite 1110
Atlanta, GA 30308-2208
Phone
(404) 221-1095
Fax
(404) 221-1092
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2009

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

Authorized official

Name
Tanika Crowther
Title
Office Manager
Phone
(404) 221-1095

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X GA Primary

Addresses

Primary practice location

550 Peachtree St NE
Suite 1110
Atlanta, GA 30308-2208

Mailing address

550 Peachtree St NE
Suite 1110
Atlanta, GA 30308-2208
Phone (404) 221-1095

National Provider Directory

National Provider Directory

Locations

505 Fairburn Rd SW
Ste 205
Atlanta, GA 30331
Phone (404) 505-9000

1014 Hospital Dr
Bldg B
Stockbridge, GA 30281
Phone (404) 221-1095

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238544000000",
    "number": "1376696153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 PEACHTREE ST NE",
            "address_2": "SUITE 1110",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082208",
            "telephone_number": "404-221-1095",
            "fax_number": "404-221-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 PEACHTREE ST NE",
            "address_2": "SUITE 1110",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082208",
            "telephone_number": "404-221-1095",
            "fax_number": "404-221-1092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION SURGICAL ASSOCIATES OF ATLANTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2009-04-01",
        "status": "A",
        "authorized_official_last_name": "CROWTHER",
        "authorized_official_first_name": "TANIKA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "404-221-1095"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "GA",
            "license": null,
            "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 Apr 1, 2009; 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.