Organization Active NPI

Surgical Assistant Counsulting of Georgia L.L.C.

  • Surgical Physician Assistant
  • Powder Springs, GA
National Provider Identifier
1750740684
Registry record updated Feb 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
SURGICAL ASSISTANT COUNSULTING OF GEORGIA L.L.C.
Practice address
5200 Dallas Hwy Ste 200-224
Powder Springs, GA 30127-6318
Phone
(770) 687-9596
NPI assigned
Feb 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2016

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

Authorized official

Name
Kevin Jablonsky, RNFA
Title
Rnfa
Phone
(205) 250-9966

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 163WR0006X RN220938 GA
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AS0400X Primary

Addresses

Primary practice location

5200 Dallas Hwy Ste 200-224
Powder Springs, GA 30127-6318

Mailing address

5200 Dallas Hwy Ste 200-224
Powder Springs, GA 30127-6318

National Provider Directory

National Provider Directory

Locations

5200 Dallas Hwy
Ste 200224
Powder Springs, GA 30127
Phone (770) 687-9596

NPI Registry JSON

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

{
    "created_epoch": "1455926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455926400000",
    "number": "1750740684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 DALLAS HWY STE 200-224",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301276318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 DALLAS HWY STE 200-224",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301276318",
            "telephone_number": "770-687-9596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL ASSISTANT COUNSULTING OF GEORGIA L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-20",
        "last_updated": "2016-02-20",
        "status": "A",
        "authorized_official_last_name": "JABLONSKY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "RNFA",
        "authorized_official_telephone_number": "205-250-9966",
        "authorized_official_credential": "RNFA"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "GA",
            "license": "RN220938",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powder Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.