NPIMap

Organization Active NPI

Speights Surgical Suites

  • Surgical Assistant
  • College Park, GA
National Provider Identifier
1790962215
Registry record updated Nov 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
Legal business name
SPEIGHTS SURGICAL SUITES
Practice address
150 Ravencliff LN
College Park, GA 30349-4928
Phone
(770) 909-3033
NPI assigned
Jan 28, 2008
Last updated
Nov 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2013

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

Authorized official

Name
Dr. Fredne Speights, M.D./C.S.A.
Title
C.E.O.
Phone
(404) 646-5234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X Primary

Addresses

Primary practice location

150 Ravencliff LN
College Park, GA 30349-4928

Mailing address

805 South Glynn Street
Suite 127-135
Fayetteville, GA 30214
Phone (404) 646-5234

National Provider Directory

National Provider Directory

Locations

805 Glynn St S
Ste 127135
Fayetteville, GA 30214

NPI Registry JSON

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384732800000",
    "number": "1790962215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 SOUTH GLYNN STREET",
            "address_2": "SUITE 127-135",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "30214",
            "telephone_number": "404-646-5234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 RAVENCLIFF LN",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303494928",
            "telephone_number": "770-909-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEIGHTS SURGICAL SUITES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2013-11-18",
        "status": "A",
        "authorized_official_last_name": "SPEIGHTS",
        "authorized_official_first_name": "FREDNE",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "404-646-5234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D./C.S.A."
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Park, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; 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.