Active NPI
Surgical Services LLC
- Registered Nurse First Assistant
- Gainesville, GA
National Provider Identifier
1386731453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse First Assistant
- License
- RN073201
- Legal business name
- SURGICAL SERVICES LLC
- Practice address
- 4117 Blackhawk Dr
Gainesville, GA 30506-2253 - Phone
- (770) 540-5163
- Fax
- (770) 503-1784
- NPI assigned
- Oct 9, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary McCartney Mitchell, RNFA
- Title
- Owner
- Phone
- (770) 540-5163
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse First Assistant | 163WR0006X | RN073201 | GA | Primary |
Addresses
Primary practice location
4117 Blackhawk Dr
Gainesville, GA 30506-2253
Mailing address
4117 Blackhawk Dr
Gainesville, GA 30506-2253
Phone (770) 540-5163
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160352000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1386731453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4117 BLACKHAWK DR",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305062253",
"telephone_number": "770-540-5163",
"fax_number": "770-503-1784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4117 BLACKHAWK DR",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305062253",
"telephone_number": "770-540-5163",
"fax_number": "770-503-1784"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SURGICAL SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-09",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MITCHELL",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "MCCARTNEY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "770-540-5163",
"authorized_official_credential": "RNFA"
},
"taxonomies": [
{
"code": "163WR0006X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Registered Nurse First Assistant",
"state": "GA",
"license": "RN073201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.