Organization Active NPI

Refined Surgical Assisting, LLLP

  • Surgical Physician Assistant
  • Jefferson, GA
National Provider Identifier
1447018189
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
REFINED SURGICAL ASSISTING, LLLP
Practice address
1182 Old Pendergrass Rd
Jefferson, GA 30549-2763
Phone
(541) 525-2829
NPI assigned
Mar 7, 2024
Organization subpart
Yes
Parent organization
REFINED SURGICAL ASSISTING, LLLPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Authorized official

Name
Matt McMichael, CSFANPI 1760179758
Title
General Partner
Phone
(541) 525-2829

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 246ZC0007X
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AS0400X Primary

Addresses

Primary practice location

1182 Old Pendergrass Rd
Jefferson, GA 30549-2763

Mailing address

1182 Old Pendergrass Rd
Jefferson, GA 30549-2763
Phone (541) 525-2829

National Provider Directory

National Provider Directory
Part of
Refined Surgical Assisting LLLP

Practitioners & affiliated clinicians

Practitioners 1

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": "1709769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709769600000",
    "number": "1447018189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1182 OLD PENDERGRASS RD",
            "city": "JEFFERSON",
            "state": "GA",
            "postal_code": "305492763",
            "telephone_number": "541-525-2829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1182 OLD PENDERGRASS RD",
            "city": "JEFFERSON",
            "state": "GA",
            "postal_code": "305492763",
            "telephone_number": "541-525-2829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFINED SURGICAL ASSISTING, LLLP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REFINED SURGICAL ASSISTING, LLLP",
        "enumeration_date": "2024-03-07",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "MCMICHAEL",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "541-525-2829",
        "authorized_official_credential": "CSFA"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.