Amicable Surgical Services LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

AMICABLE SURGICAL SERVICES LLC

Practice address

5665 Peachtree Dunwoody Rd
Atlanta, GA 30342-1764

Phone

(678) 843-7001

NPI assigned

Jun 26, 2024

Last updated

Jun 26, 2024By 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

Wasana J PhouangmalayNPI 1770332413

Title

Csfa

Phone

(404) 435-3216

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.

• Wasana J Phouangmalay, CST, CSFA

  • Surgical Assistant
  • Jonesboro, GA
  • NPI 1770332413
  NPD Authorized official

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

{
    "created_epoch": "1719360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719360000000",
    "number": "1386489920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 SOUTH AVE",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302364948",
            "telephone_number": "404-435-3216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5665 PEACHTREE DUNWOODY RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421764",
            "telephone_number": "678-843-7001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1133 Eagles Landing Pkwy",
            "address_purpose": "LOCATION",
            "city": "Stockbridge",
            "state": "GA",
            "postal_code": "302815085",
            "country_code": "US",
            "telephone_number": "678-604-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Johnson Fy Rd NE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303421606",
            "country_code": "US",
            "telephone_number": "404-851-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AMICABLE SURGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-26",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A",
        "authorized_official_last_name": "PHOUANGMALAY",
        "authorized_official_first_name": "WASANA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CSFA",
        "authorized_official_telephone_number": "404-435-3216"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Francine Ames, PT
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• Andrea Cecilia Amez, ACNPC-AG
• Patricia Julia Amezaga, P.T.
• Amgp Georgia Managed Care Company, Inc. (AMERIGROUP Community Care)
• Amber Amick, APC
• Hailey A Amick, M.D.
• Matthew Amick, PH.D. LMFT
• Dina Amin
• Michael Amin

• Surgery Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.