Active NPI
Surgical Assistant Counsulting of Georgia L.L.C.
- Surgical Physician Assistant
- Powder Springs, GA
National Provider Identifier
1750740684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse First Assistant | 163WR0006X | RN220938 | GA | |
| Surgical Physician Assistant | 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 DirectoryLocations
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.