STH LLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

STH LLC

Practice address

2086 Jodeco Rd # 1251
McDonough, GA 30253-5220

Phone

(980) 254-2256

NPI assigned

Dec 5, 2023

Organization subpart

No

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

Authorized official

Name

Sean ParkerNPI 1841970571

Title

Manager

Phone

(980) 254-2256

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.

• Sean Parker, SA-C

  • Surgical Physician Assistant
  • McDonough, GA
  • NPI 1841970571

  Surgical Assistant

  NPD Authorized official

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

{
    "created_epoch": "1701734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1699542183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2086 JODECO RD # 1251",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302535220",
            "telephone_number": "980-254-2256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2086 JODECO RD # 1251",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302535220",
            "telephone_number": "980-254-2256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-05",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-17",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "980-254-2256"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgical Physician Assistant in McDonough, GA
• Providers in McDonough, 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 Jan 18, 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.

Verify at the official NPI Registry.