Kellersurgical Assisting

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

Legal business name

KELLERSURGICAL ASSISTING

Practice address

6144 Stella Light Dr
Flowery Branch, GA 30542-3451

Phone

(770) 940-0185

Fax

(949) 437-3333

NPI assigned

Nov 7, 2022

Last updated

Nov 7, 2022By 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

Patricia P Keller, CSANPI 1134278419

Title

Owner

Phone

(770) 940-0185

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.

• Patricia P Keller, C.S.A.

  • Surgical Assistant
  • Flowery Branch, GA
  • NPI 1134278419
  NPD Authorized official

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667779200000",
    "number": "1720796980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 510",
            "city": "FLOWERY BRANCH",
            "state": "GA",
            "postal_code": "305420009",
            "telephone_number": "770-940-0185",
            "fax_number": "949-437-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6144 STELLA LIGHT DR",
            "city": "FLOWERY BRANCH",
            "state": "GA",
            "postal_code": "305423451",
            "telephone_number": "770-940-0185",
            "fax_number": "949-437-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLERSURGICAL ASSISTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-940-0185",
        "authorized_official_credential": "CSA"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JTL Counseling Services, LLC
• Pradnya Karmarkar
• Jason Y Kawamura, DPT
• Quentin Brandon Keasler, MS,ATC/L
• Patricia P Keller, C.S.A.
• Edward Kelly, D.D.S.
• David Glenn Kemp, D.D.S.
• Allie Lynn Kennedy, OTR/L
• John Kent, PHD
• James Kercher

• Surgical Assistant in Flowery Branch, GA
• Providers in Flowery Branch, GA by specialty
• Surgical Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.