Organization Active NPI

Signature Surgical Assistants

  • Surgical Physician Assistant
  • Atlanta, GA
National Provider Identifier
1396013223
Registry record updated Dec 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
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

Updated by the provider on Dec 7, 2011

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)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.