Organization Active NPI

Kristy Aycinena, LLC

  • Surgical Physician Assistant
  • Gainesville, GA
National Provider Identifier
1629845680
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
KRISTY AYCINENA, LLC
Practice address
2856 Woodbriar Dr
Gainesville, GA 30506-2890
Phone
(678) 858-1980
NPI assigned
Dec 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Authorized official

Name
Kristy Aycinena, CSFANPI 1487427449
Title
Surgical First Assistant
Phone
(678) 858-1980

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

2856 Woodbriar Dr
Gainesville, GA 30506-2890

Mailing address

PO Box 1604
Gainesville, GA 30503-1604
Phone (678) 858-1980

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": "1701993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1629845680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1604",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305031604",
            "telephone_number": "678-858-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2856 WOODBRIAR DR",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305062890",
            "telephone_number": "678-858-1980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTY AYCINENA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-08",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "AYCINENA",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_title_or_position": "SURGICAL FIRST ASSISTANT",
        "authorized_official_telephone_number": "678-858-1980",
        "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": []
}

Other providers in Gainesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.

Verify at the official NPI Registry.