Clerk Surgical Assisting Services

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

CLERK SURGICAL ASSISTING SERVICES

Practice address

20 Ozmore St
Newnan, GA 30263-1038

Phone

(770) 254-1503

NPI assigned

Jun 13, 2007

Organization subpart

No

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

Authorized official

Name

Walter L Clerk, CFA

Title

President

Phone

(770) 254-1503

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447454426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 OZMORE ST",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302631038",
            "telephone_number": "770-254-1503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 OZMORE ST",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302631038",
            "telephone_number": "770-254-1503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLERK SURGICAL ASSISTING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLERK",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-254-1503",
        "authorized_official_credential": "CFA"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yanett Paz Clark
• Lashante Clarke
• Clear Vision Optical Inc
• Kevin T. Cleary, M.D.
• Cleland Periodontics, PC
• Clerk Surgical Assisting Services
• Walter Lee Clerk, CFA
• Shannon Lynne Cleveland, DPT
• Bonnie Paige Clough
• Carter Co, M.D.

• Physician Assistant in Newnan, GA
• Providers in Newnan, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.