Active NPI
TL Surgical Assisting LLC
- Surgical Assistant
- Stone Mountain, GA
National Provider Identifier
1578034732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- Legal business name
- TL SURGICAL ASSISTING LLC
- Practice address
- 6301 Southland RDG
Stone Mountain, GA 30087-4996 - Phone
- (678) 756-4541
- NPI assigned
- Dec 16, 2018
- 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
- Tuan Minh Khong, SA-C
- Title
- Owner
- Phone
- (678) 694-8218
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | Primary | ||
| Surgical Physician Assistant | 363AS0400X |
Addresses
Primary practice location
6301 Southland RDG
Stone Mountain, GA 30087-4996
Mailing address
6301 Southland RDG
Stone Mountain, GA 30087-4996
Phone (678) 694-8218
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544918400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722643200000",
"number": "1578034732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6301 SOUTHLAND RDG",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300874996",
"telephone_number": "678-694-8218",
"fax_number": "678-587-5374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6301 SOUTHLAND RDG",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300874996",
"telephone_number": "678-756-4541"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TL SURGICAL ASSISTING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-12-16",
"last_updated": "2024-08-03",
"certification_date": "2024-08-03",
"status": "A",
"authorized_official_last_name": "KHONG",
"authorized_official_first_name": "TUAN",
"authorized_official_middle_name": "MINH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "678-694-8218",
"authorized_official_credential": "SA-C"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": null,
"license": null,
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stone Mountain, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.