Organization Active NPI

Allied Surgical Associates, PC

  • Registered Nurse First Assistant
  • Marietta, GA
National Provider Identifier
1457406688
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
Legal business name
ALLIED SURGICAL ASSOCIATES, PC
Practice address
2900 Delk Rd SE
Suite 700 Room 166
Marietta, GA 30067-5320
Phone
(770) 509-9801
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Karen E Boullain, RNFA
Title
President and Ceo
Phone
(770) 509-9801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 163WR0006X Primary

Addresses

Primary practice location

2900 Delk Rd SE
Suite 700 Room 166
Marietta, GA 30067-5320

Mailing address

2900 Delk Rd SE
Suite 700 Room 166
Marietta, GA 30067-5320

National Provider Directory

National Provider Directory

Locations

2900 Delk Rd SE
Ste 700
Marietta, GA 30067
Phone (678) 598-8112

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457406688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 DELK RD SE",
            "address_2": "SUITE 700 ROOM 166",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300675320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 DELK RD SE",
            "address_2": "SUITE 700 ROOM 166",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300675320",
            "telephone_number": "770-509-9801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIED SURGICAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOULLAIN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "770-509-9801",
        "authorized_official_credential": "RNFA"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • 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.