Organization Active NPI

Elite First Assisting

  • Surgical Physician Assistant
  • Cumming, GA
National Provider Identifier
1669691622
Registry record updated Jan 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
ELITE FIRST ASSISTING
Practice address
1235 Magnolia Park Cir
Cumming, GA 30040-8338
Phone
(678) 516-8905
Fax
(888) 559-0691
NPI assigned
Apr 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2012

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

Authorized official

Name
Tyrone Rogers
Title
Owner
Phone
(770) 682-9565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AS0400X Primary

Addresses

Primary practice location

1235 Magnolia Park Cir
Cumming, GA 30040-8338

Mailing address

1400 Market Place Blvd
Suite 156
Cumming, GA 30041-7925
Phone (678) 516-8905

National Provider Directory

National Provider Directory
Tax ID family
Elite First Assisting2 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.

Locations

1400 Market Place Blvd
Cumming, GA 30041

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325808000000",
    "number": "1669691622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 MARKET PLACE BLVD",
            "address_2": "SUITE 156",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300417925",
            "telephone_number": "678-516-8905",
            "fax_number": "888-267-9812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 MAGNOLIA PARK CIR",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300408338",
            "telephone_number": "678-516-8905",
            "fax_number": "888-559-0691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE FIRST ASSISTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2012-01-06",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "TYRONE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-682-9565"
    },
    "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 Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; 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.