Individual provider Active NPI

Jamie Bridges Goss, SURGICAL FIRST ASSIS

  • Surgical Assistant
  • Savannah, GA
National Provider Identifier
1437676590
Registry record updated Aug 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
17-294 Issued in GA
Practice address
4750 Waters Ave Ste 500
Savannah, GA 31404-6261
Phone
(912) 629-8000
Fax
(912) 356-1221
NPI assigned
Aug 29, 2017
Last updated
Aug 29, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X 17-294 GA Primary

Addresses

Primary practice location

4750 Waters Ave Ste 500
Savannah, GA 31404-6261

Mailing address

16 Castle Hill Rd
Savannah, GA 31419-6603
Phone (321) 604-2654

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17-294GAMDSurgical Assistant

NPI Registry JSON

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

{
    "created_epoch": "1503964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503964800000",
    "number": "1437676590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 CASTLE HILL RD",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314196603",
            "telephone_number": "321-604-2654",
            "fax_number": "912-356-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 WATERS AVE STE 500",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314046261",
            "telephone_number": "912-629-8000",
            "fax_number": "912-356-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSS",
        "first_name": "JAMIE",
        "middle_name": "BRIDGES",
        "name_prefix": "Mrs.",
        "credential": "SURGICAL FIRST ASSIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-29",
        "last_updated": "2017-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "GA",
            "license": "17-294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2017; 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.