Active NPI
Surgical First Assistants, Inc.
- Adult Health Nurse Practitioner
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- RN097274
- Legal business name
- SURGICAL FIRST ASSISTANTS, INC.
- Practice address
- 4542 High Rock Ter
Marietta, GA 30066-1606 - Phone
- (678) 488-7299
- Fax
- (770) 578-8405
- NPI assigned
- Jul 25, 2006
- Last updated
- Aug 22, 2020
- 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
- Mrs. Susan Ulmer Dewolf, CRNFA, NP-C
- Title
- President / Ceo
- Phone
- (678) 488-7299
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | RN097274 | GA | Primary |
Addresses
Primary practice location
4542 High Rock Ter
Marietta, GA 30066-1606
Mailing address
4542 High Rock Ter
Marietta, GA 30066-1606
Phone (678) 488-7299
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518966175 | Other | GA | NPI |
National Provider Directory
National Provider DirectoryLocations
3605 Sandy Plains Rd
#240246
Marietta, GA 30066
Phone (678) 488-7299
3605 Sandy Plains Rd
Ste 240246
Marietta, GA 30066
Practitioners & affiliated clinicians
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.
-
- Nurse Practitioner
- Marietta, GA
- NPI 1518966175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1760404701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4542 HIGH ROCK TER",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300661606",
"telephone_number": "678-488-7299",
"fax_number": "770-578-8405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4542 HIGH ROCK TER",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300661606",
"telephone_number": "678-488-7299",
"fax_number": "770-578-8405"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SURGICAL FIRST ASSISTANTS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-25",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DEWOLF",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "ULMER",
"authorized_official_title_or_position": "PRESIDENT / CEO",
"authorized_official_telephone_number": "678-488-7299",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "CRNFA, NP-C"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "GA",
"license": "RN097274",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1518966175",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.