NPIMap

Organization Active NPI

Kevin Washington

  • Ambulatory Surgical Clinic/Center
  • Doraville, GA
National Provider Identifier
1386821890
Registry record updated Jan 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
3134 Issued in GA
Legal business name
KEVIN WASHINGTON
Practice address
411 Parkway Circle South
Doraville, GA 30340-6305
Phone
(678) 691-3187
NPI assigned
Jan 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2008

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

Authorized official

Name
Kevin Washington, 3134
Title
Certified Surgical Assistant
Phone
(678) 691-3187

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 3134 GA Primary

Addresses

Primary practice location

411 Parkway Circle South
Doraville, GA 30340-6305

Mailing address

411 Parkway Cir S
Doraville, GA 30340-6305
Phone (678) 691-3187

Other names 1

  • STEADYHANDS Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201478400000",
    "number": "1386821890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 PARKWAY CIR S",
            "city": "DORAVILLE",
            "state": "GA",
            "postal_code": "303406305",
            "telephone_number": "678-691-3187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 PARKWAY CIRCLE SOUTH",
            "city": "DORAVILLE",
            "state": "GA",
            "postal_code": "303406305",
            "telephone_number": "678-691-3187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN WASHINGTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-01-28",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CERTIFIED SURGICAL ASSISTANT",
        "authorized_official_telephone_number": "678-691-3187",
        "authorized_official_credential": "3134"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "GA",
            "license": "3134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STEADYHANDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Doraville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; 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.