Organization Active NPI

Physicians First Assist

  • Surgical Physician Assistant
  • Norcross, GA
National Provider Identifier
1649498064
Registry record updated Aug 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
PHYSICIANS FIRST ASSIST
Practice address
5950 Crooked Creek Road Suite 160
Norcross, GA 30092
Phone
(770) 985-4257
NPI assigned
Apr 23, 2007
Last updated
Aug 20, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2013

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

Authorized official

Name
Mr. John WalkerNPI 1457473241
Title
Ceo
Phone
(678) 691-6529

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 Assistant 363AS0400X NU Primary

Addresses

Primary practice location

5950 Crooked Creek Road Suite 160
Norcross, GA 30092

Mailing address

P.O. Box 923821
Norcross, GA 30010
Phone (678) 691-6529

National Provider Directory

National Provider Directory

Locations

5950 Crooked Creek Rd
Ste 160
Norcross, GA 30092

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376956800000",
    "number": "1649498064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 923821",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "30010",
            "telephone_number": "678-691-6529",
            "fax_number": "770-840-7464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5950 CROOKED CREEK ROAD SUITE 160",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "30092",
            "telephone_number": "770-985-4257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS FIRST ASSIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2013-08-20",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-691-6529",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; 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.