NPIMap

Organization Active NPI

Superior Surgical Associates Inc

  • Podiatric Assistant
  • Atlanta, GA
National Provider Identifier
1417248907
Registry record updated Aug 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric AssistantTaxonomy code 211D00000X
Legal business name
SUPERIOR SURGICAL ASSOCIATES INC
Practice address
5881 Glenridge Dr NE
Suite 120
Atlanta, GA 30328-5301
Phone
(404) 303-7703
Fax
(404) 303-7706
NPI assigned
May 2, 2011
Last updated
Aug 20, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2013

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

Authorized official

Name
Vanetta Lockett
Title
Office Manager
Phone
(404) 303-7703

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Assistant 211D00000X Primary

Addresses

Primary practice location

5881 Glenridge Dr NE
Suite 120
Atlanta, GA 30328-5301

Mailing address

5881 Glenridge Dr NE
Suite 120
Atlanta, GA 30328-5301
Phone (404) 303-7703

National Provider Directory

National Provider Directory
Tax ID family
Superior Surgical Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5881 Glenridge Dr
Ste 120
Sandy Springs, GA 30328
Phone (404) 303-7703

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376956800000",
    "number": "1417248907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5881 GLENRIDGE DR NE",
            "address_2": "SUITE 120",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285301",
            "telephone_number": "404-303-7703",
            "fax_number": "404-303-7706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5881 GLENRIDGE DR NE",
            "address_2": "SUITE 120",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285301",
            "telephone_number": "404-303-7703",
            "fax_number": "404-303-7706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR SURGICAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-02",
        "last_updated": "2013-08-20",
        "status": "A",
        "authorized_official_last_name": "LOCKETT",
        "authorized_official_first_name": "VANETTA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "404-303-7703"
    },
    "taxonomies": [
        {
            "code": "211D00000X",
            "taxonomy_group": "",
            "desc": "Assistant, Podiatric",
            "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 Aug 20, 2013; 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.