NPIMap

Organization Active NPI

Prime Surgical Associates Inc.

  • Surgical Physician Assistant
  • Alpharetta, GA
National Provider Identifier
1457403248
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
PRIME SURGICAL ASSOCIATES INC.
Practice address
3180 North Point Parkway
Buliding 200 Ste 207
Alpharetta, GA 30005
Phone
(770) 559-8725
Fax
(770) 559-8276
NPI assigned
Jan 18, 2007
Last updated
Oct 24, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2016

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

Authorized official

Name
Deborah Price, CSANPI 1508915893
Title
Csa Owner
Phone
(770) 559-8725

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 GA
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AS0400X Primary

Addresses

Primary practice location

3180 North Point Parkway
Buliding 200 Ste 207
Alpharetta, GA 30005

Mailing address

3180 N Point Pkwy
Buliding 200 Ste 207
Alpharetta, GA 30005-4248
Phone (770) 559-8725

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160729000168 GA Part B Supplier - Clinic/Group Practice 9436442365 Receives reassigned benefits from 2 practitioners
Practice locations: Alpharetta, GA

National Provider Directory

National Provider Directory

Locations

5730 Glenridge Dr
Ste 400
Sandy Springs, GA 30328
Phone (404) 252-3074

750 Hammond Dr
Bldg 19
Sandy Springs, GA 30328
Phone (404) 257-0363

Practitioners & affiliated clinicians

Practitioners 30

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.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477267200000",
    "number": "1457403248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3180 N POINT PKWY",
            "address_2": "BULIDING 200 STE 207",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054248",
            "telephone_number": "770-559-8725",
            "fax_number": "770-559-8276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 NORTH POINT PARKWAY",
            "address_2": "BULIDING 200 STE 207",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "30005",
            "telephone_number": "770-559-8725",
            "fax_number": "770-559-8276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME SURGICAL ASSOCIATES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2016-10-24",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "CSA OWNER",
        "authorized_official_telephone_number": "770-559-8725",
        "authorized_official_credential": "CSA"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "GA",
            "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 Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.