Spectrum Surgical LLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

SPECTRUM SURGICAL LLC

Practice address

3142 Highway 278 NW # 135
Covington, GA 30014-2304

Phone

(678) 516-2119

NPI assigned

Mar 3, 2020

Organization subpart

No

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

Authorized official

Name

Frank Paul Tanner, CSFA, SA-CNPI 1922422278

Title

Certified Surgical Assistant

Phone

(678) 516-2119

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Frank Tanner, SA-C, CSFA

  • Surgical Physician Assistant
  • Covington, GA
  • NPI 1922422278
  NPD Authorized official

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

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583193600000",
    "number": "1639704307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3142 HIGHWAY 278 NW # 135",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142304",
            "telephone_number": "678-516-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3142 HIGHWAY 278 NW # 135",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142304",
            "telephone_number": "678-516-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM SURGICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-03",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A",
        "authorized_official_last_name": "TANNER",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "CERTIFIED SURGICAL ASSISTANT",
        "authorized_official_telephone_number": "678-516-2119",
        "authorized_official_credential": "CSFA, SA-C"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgical Physician Assistant in Covington, GA
• Providers in Covington, 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 Mar 3, 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.

Verify at the official NPI Registry.