Active NPI
First Assistant Surgical Services Inc.
- Surgical Technologist
- Acworth, GA
National Provider Identifier
1528114337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Technologist
- License
- 03213502
- Legal business name
- FIRST ASSISTANT SURGICAL SERVICES INC.
- Practice address
- 4625 Saddle Gate LN
Acworth, GA 30101-5286 - Phone
- (770) 355-7976
- NPI assigned
- Jan 25, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Harvey Hendricks
- Title
- President
- Phone
- (770) 355-7976
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Technologist | 246ZS0410X | 03213502 | GA | Primary |
Addresses
Primary practice location
4625 Saddle Gate LN
Acworth, GA 30101-5286
Mailing address
4625 Saddle Gate LN
Acworth, GA 30101-5286
Phone (770) 355-7976
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Surgical Technologist
- Acworth, GA
- NPI 1811043318
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": "1528114337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4625 SADDLE GATE LN",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301015286",
"telephone_number": "770-355-7976",
"fax_number": "770-529-0928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4625 SADDLE GATE LN",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301015286",
"telephone_number": "770-355-7976"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIRST ASSISTANT SURGICAL SERVICES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-25",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HENDRICKS",
"authorized_official_first_name": "HARVEY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "770-355-7976"
},
"taxonomies": [
{
"code": "246ZS0410X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other, Surgical Technologist",
"state": "GA",
"license": "03213502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Acworth, 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.