NPIMap

Organization Active NPI

Jackson Surgical Assistants, LLC

  • Surgery Physician
  • Alpharetta, GA
National Provider Identifier
1487934550
Registry record updated Mar 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
JACKSON SURGICAL ASSISTANTS, LLC
Practice address
2655 Northwinds Pkwy
Alpharetta, GA 30009-2280
Phone
(678) 983-4479
NPI assigned
Aug 22, 2011
Organization subpart
Yes
Parent organization
JACKSON SURGICAL ASSISTANTS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 31, 2016

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

Authorized official

Name
Ann H Schaker
Title
Director of Billing
Phone
(678) 983-4479

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary
Surgical AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 246ZC0007X
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AS0400X

Addresses

Primary practice location

2655 Northwinds Pkwy
Alpharetta, GA 30009-2280

Mailing address

2600 Northwinds Parkway
Alpharetta, GA 30009-2280
Phone (678) 983-4479

Other names 1

  • JSA of Virginia Doing business as

National Provider Directory

National Provider Directory
Part of
Jackson Surg Assis LLC

Locations

2600 Northwinds Pkwy
Alpharetta, GA 30009

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459382400000",
    "number": "1487934550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 NORTHWINDS PARKWAY",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300092280",
            "telephone_number": "678-983-4479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 NORTHWINDS PKWY",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300092280",
            "telephone_number": "678-983-4479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON SURGICAL ASSISTANTS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JACKSON SURGICAL ASSISTANTS, LLC",
        "enumeration_date": "2011-08-22",
        "last_updated": "2016-03-31",
        "status": "A",
        "authorized_official_last_name": "SCHAKER",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING",
        "authorized_official_telephone_number": "678-983-4479"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "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": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JSA of Virginia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 31, 2016; 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.