M&M Surgical Associates

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

M&M SURGICAL ASSOCIATES

Practice address

804 River Mist Dr
Jonesboro, GA 30238-5748

Phone

(404) 671-9556

Fax

(888) 265-5564

NPI assigned

Oct 17, 2011

Last updated

Oct 17, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Teresa Cleaves, CSANPI 1013154483

Title

Owner, President

Phone

(404) 671-9556

Specialties & licenses 1

Addresses

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.

• Teresa Cleaves, CSA

  • Surgical Physician Assistant
  • Jonesboro, GA
  • NPI 1013154483
  Authorized official Same address or phone

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

{
    "created_epoch": "1318809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318809600000",
    "number": "1679858112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 RIVER MIST DR",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302385748",
            "telephone_number": "404-671-9556",
            "fax_number": "888-265-5564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 RIVER MIST DR",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302385748",
            "telephone_number": "404-671-9556",
            "fax_number": "888-265-5564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M&M SURGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-17",
        "last_updated": "2011-10-17",
        "status": "A",
        "authorized_official_last_name": "CLEAVES",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "404-671-9556",
        "authorized_official_credential": "CSA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lacoma Luehrman, LPC
• Vadim Lvovich
• Tania Lynch, RN
• M & S Exams on the Go
• M&a Home Care, LLC
• Luanne Maria Macisaac, PT
• Felicia M Mack, PCA
• Emily Jo Anderson Mackillop, PH.D.
• Brooks Wells Maddox III, DMD
• Abelardo B Magat, MD

• Surgical Physician Assistant in Jonesboro, GA
• Providers in Jonesboro, GA by specialty
• Surgical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; 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.