Organization Active NPI

Pelican Inc

  • Surgical Physician Assistant
  • Atlanta, GA
National Provider Identifier
1649497595
Registry record updated Oct 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
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

Updated by the provider on Oct 27, 2008

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)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 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 Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.