Organization Active NPI

Surgical Services LLC

  • Registered Nurse First Assistant
  • Gainesville, GA
National Provider Identifier
1386731453
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
RN073201 Issued in GA
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Registered Nurse First AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.