Organization Active NPI

Surgical Outsourcing LLC

  • Surgical Physician Assistant
  • Hampton, GA
National Provider Identifier
1508579814
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
SURGICAL OUTSOURCING LLC
Practice address
11565 Creekstone Rd
Hampton, GA 30228-3467
Phone
(404) 380-0360
NPI assigned
Jan 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Authorized official

Name
Ms. Amy Quadrena Harriel, CSFANPI 1154034452
Title
Owner
Phone
(404) 380-0360

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 1

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

Addresses

Primary practice location

11565 Creekstone Rd
Hampton, GA 30228-3467

Mailing address

11565 Creekstone Rd
Hampton, GA 30228-3467
Phone (404) 380-0360

Other names 1

  • Surgical Outsourcing Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1672617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767830400000",
    "number": "1508579814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11565 CREEKSTONE RD",
            "city": "HAMPTON",
            "state": "GA",
            "postal_code": "302283467",
            "telephone_number": "404-380-0360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11565 CREEKSTONE RD",
            "city": "HAMPTON",
            "state": "GA",
            "postal_code": "302283467",
            "telephone_number": "404-380-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL OUTSOURCING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-02",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A",
        "authorized_official_last_name": "HARRIEL",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "QUADRENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-380-0360",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CSFA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surgical Outsourcing",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Surgical Outsourcing",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hampton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; 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.