Surgical Physicians of Atlanta

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

037519 Issued in GA

Legal business name

SURGICAL PHYSICIANS OF ATLANTA

Practice address

890 Atlanta St
Ste 161
Roswell, GA 30075-4456

Phone

(470) 306-1985

NPI assigned

Sep 17, 2015

Organization subpart

No

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

Authorized official

Name

John Daly, M.D.

Title

Medical Director

Phone

(407) 306-1985

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476835200000",
    "number": "1679942973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 ATLANTA ST",
            "address_2": "STE 161",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300754456",
            "telephone_number": "470-306-1985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 ATLANTA ST",
            "address_2": "STE 161",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300754456",
            "telephone_number": "470-306-1985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL PHYSICIANS OF ATLANTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-17",
        "last_updated": "2016-10-19",
        "status": "A",
        "authorized_official_last_name": "DALY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "407-306-1985",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "GA",
            "license": "037519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Roswell, GA
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• Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; 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.