Atlanta Metro First Assistants Inc

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

ATLANTA METRO FIRST ASSISTANTS INC

Practice address

3916 Brookgate Dr
Ellenwood, GA 30294-2385

Phone

(404) 547-3055

Fax

(404) 366-5096

NPI assigned

Jun 17, 2010

Last updated

Jun 17, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eleazar Baker, CSA

Title

Owner, President

Phone

(404) 547-3055

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276732800000",
    "number": "1568783231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5656 JONESBORO RD",
            "address_2": "SUITE 111 #358",
            "city": "LAKECITY",
            "state": "GA",
            "postal_code": "302603853",
            "telephone_number": "404-547-3055",
            "fax_number": "404-366-5096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3916 BROOKGATE DR",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302942385",
            "telephone_number": "404-547-3055",
            "fax_number": "404-366-5096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA METRO FIRST ASSISTANTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-17",
        "last_updated": "2010-06-17",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "ELEAZAR",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "404-547-3055",
        "authorized_official_credential": "CSA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgical Physician Assistant in Ellenwood, GA
• Providers in Ellenwood, GA by specialty
• Surgical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2010; 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.