Active NPI
Signature Surgical Assistants
- Surgical Physician Assistant
- Atlanta, GA
National Provider Identifier
1396013223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- Legal business name
- SIGNATURE SURGICAL ASSISTANTS
- Practice address
- 2489 Kings Arms Dr NE
Atlanta, GA 30345-2132 - Phone
- (888) 265-9908
- Fax
- (888) 265-5564
- NPI assigned
- Dec 7, 2011
- 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
- Hongfeng Shi, CSA
- Title
- Owner, President
- Phone
- (888) 265-9908
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | Primary |
Addresses
Primary practice location
2489 Kings Arms Dr NE
Atlanta, GA 30345-2132
Mailing address
2489 Kings Arms Dr NE
Atlanta, GA 30345-2132
Phone (888) 265-9908
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323216000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1323216000000",
"number": "1396013223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2489 KINGS ARMS DR NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303452132",
"telephone_number": "888-265-9908",
"fax_number": "888-265-5564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2489 KINGS ARMS DR NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303452132",
"telephone_number": "888-265-9908",
"fax_number": "888-265-5564"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIGNATURE SURGICAL ASSISTANTS",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-07",
"last_updated": "2011-12-07",
"status": "A",
"authorized_official_last_name": "SHI",
"authorized_official_first_name": "HONGFENG",
"authorized_official_title_or_position": "OWNER, PRESIDENT",
"authorized_official_telephone_number": "888-265-9908",
"authorized_official_credential": "CSA"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant, Surgical",
"state": null,
"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 Dec 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.