Metro Surgical Assistants

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

2840 Issued in GA

Legal business name

METRO SURGICAL ASSISTANTS

Practice address

3091 Cobb Pkwy NW Apt 1315
Kennesaw, GA 30152-8000

Phone

(404) 932-0637

NPI assigned

Jul 27, 2010

Organization subpart

No

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

Authorized official

Name

Derrell Nesmith, CSA

Title

Certified Surgical Assistant

Phone

(404) 932-0637

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280188800000",
    "number": "1427362995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3091 COBB PKWY NW APT 1315",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301528000",
            "telephone_number": "404-932-0637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3091 COBB PKWY NW APT 1315",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301528000",
            "telephone_number": "404-932-0637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO SURGICAL ASSISTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-27",
        "last_updated": "2010-07-27",
        "status": "A",
        "authorized_official_last_name": "NESMITH",
        "authorized_official_first_name": "DERRELL",
        "authorized_official_title_or_position": "CERTIFIED SURGICAL ASSISTANT",
        "authorized_official_telephone_number": "404-932-0637",
        "authorized_official_credential": "CSA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "GA",
            "license": "2840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Rausch Mercure, PT, DPT
• Alexandra Morgan Merrick, MS CCC-SLP
• Julie Ann Merrill, OTR
• Metpp LLC
• Metro Atlanta Urology and Pelvic Health Center, LLC
• Metropolitan Health Care Plus Inc
• Michael a. Levinson, DC, PC
• Karen E Michael, MA, NCC
• Hannah Michelena, RN
• Leah K Middendorf, NP-C

• Surgical Physician Assistant in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Surgical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; 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.