Active NPI
Pelican Inc
- Surgical Physician Assistant
- Atlanta, GA
National Provider Identifier
1649497595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- Legal business name
- PELICAN INC
- Practice address
- 3695 Cascade Rd SW Ste F
#1102
Atlanta, GA 30331-2146 - Phone
- (404) 226-7769
- Fax
- (770) 907-6892
- NPI assigned
- Apr 20, 2007
- 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
- Brian Gash, RN-CSA, RRT, RN
- Title
- Owner
- Phone
- (404) 226-7769
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | Primary |
Addresses
Primary practice location
3695 Cascade Rd SW Ste F
#1102
Atlanta, GA 30331-2146
Mailing address
3695 Cascade Rd SW Ste F
#1102
Atlanta, GA 30331-2146
Phone (404) 226-7769
National Provider Directory
National Provider Directory- Tax ID family
- Pelican Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Registered Nurse First Assistant
- Austell, GA
- NPI 1285011809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1225065600000",
"number": "1649497595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3695 CASCADE RD SW STE F",
"address_2": "#1102",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303312146",
"telephone_number": "404-226-7769",
"fax_number": "770-907-6892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3695 CASCADE RD SW STE F",
"address_2": "#1102",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303312146",
"telephone_number": "404-226-7769",
"fax_number": "770-907-6892"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PELICAN INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-20",
"last_updated": "2008-10-27",
"status": "A",
"authorized_official_last_name": "GASH",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "404-226-7769",
"authorized_official_credential": "RN-CSA, RRT, RN"
},
"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 Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.