Midtown Surgical Associates, Inc

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

RN173288 Issued in GA

Legal business name

MIDTOWN SURGICAL ASSOCIATES, INC

Practice address

95 Collier Rd NW
Suite 4025
Atlanta, GA 30309-1796

Phone

(404) 872-8799

Fax

(404) 874-3544

NPI assigned

Feb 7, 2007

Organization subpart

No

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

Authorized official

Name

Duane Prickett

Title

Ceo

Phone

(404) 872-8799

Specialties & licenses 4

Addresses

Other identifiers 7

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anthony L. Hutchison, MSN, ACNP, RNFA

  • Acute Care Nurse Practitioner
  • Marietta, GA
  • NPI 1669538245
  NPD (past)
• Michael J Sewell, RNFA

  • Registered Nurse First Assistant
  • Atlanta, GA
  • NPI 1841463445
  NPD (past)
• Dana A Simpson, P.A.

  • Surgical Physician Assistant
  • Atlanta, GA
  • NPI 1215011440
  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1689714784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 79105",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303577105",
            "telephone_number": "404-872-8799",
            "fax_number": "404-874-3544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 COLLIER RD NW",
            "address_2": "SUITE 4025",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091796",
            "telephone_number": "404-872-8799",
            "fax_number": "404-874-3544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDTOWN SURGICAL ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "PRICKETT",
        "authorized_official_first_name": "DUANE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-872-8799"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "GA",
            "license": "RN147341",
            "primary": false
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "GA",
            "license": "RN173288",
            "primary": true
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "GA",
            "license": "RN150639",
            "primary": false
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "GA",
            "license": "RN107268",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1528113370",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1770633737",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1801946876",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID #",
            "identifier": "52805990",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID #",
            "identifier": "52058526",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1669538245",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID #",
            "identifier": "52703540",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Midtown Neurology, P.C.
• Midtown Optical Inc
• Midtown Plastic Surgery, LLC
• Midtown Smile Center
• Midtown Specialty Group, LLC
• Midtown Urology Anesthesia LLC
• Midtown Urology PC
• Midtown Urology Surgical Center, PC
• Midtown Wellness Group, Inc.
• Midtown West Medical, PC

• Registered Nurse First Assistant in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Registered Nurse First Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.