Active NPI
Samuel Dameus
- Surgical Assistant
- Peachtree Corners, GA
National Provider Identifier
1669209359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 24409
- Practice address
- 9400 Springs Lane
Apartement I
Peachtree Corners, GA 30092 - Phone
- (470) 471-8131
- NPI assigned
- Sep 17, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 24409 | WI | Primary |
Addresses
Primary practice location
9400 Springs Lane
Apartement I
Peachtree Corners, GA 30092
Mailing address
9400 Springs Lane
Apartement I
Peachtree Corners, GA 30092
Phone (470) 471-8131
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726531200000",
"number": "1669209359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9400 SPRINGS LANE",
"address_2": "APARTEMENT I",
"city": "PEACHTREE CORNERS",
"state": "GA",
"postal_code": "30092",
"telephone_number": "470-471-8131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9400 SPRINGS LANE",
"address_2": "APARTEMENT I",
"city": "PEACHTREE CORNERS",
"state": "GA",
"postal_code": "30092",
"telephone_number": "470-471-8131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAMEUS",
"first_name": "SAMUEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-09-17",
"last_updated": "2024-09-17",
"certification_date": "2024-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "WI",
"license": "24409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peachtree Corners, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.