Organization Active NPI

Surgical First Assistants, Inc.

  • Adult Health Nurse Practitioner
  • Marietta, GA
National Provider Identifier
1760404701
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN097274 Issued in GA
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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-CNPI 1518966175
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1518966175OtherGANPI

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.