Metro Atlanta Surgical Assistants, LLC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

3553 Issued in GA

Legal business name

METRO ATLANTA SURGICAL ASSISTANTS, LLC

Practice address

3705 New Macland Rd
Ste. 200-114
Powder Springs, GA 30127-1966

Phone

(404) 918-3670

Fax

(770) 439-2058

NPI assigned

Apr 18, 2007

Organization subpart

No

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

Authorized official

Name

Torra Elder

Title

Owner

Phone

(404) 918-3670

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396396800000",
    "number": "1821214875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 NEW MACLAND RD",
            "address_2": "STE. 200-114",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301271966",
            "telephone_number": "404-918-3670",
            "fax_number": "770-439-2058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 NEW MACLAND RD",
            "address_2": "STE. 200-114",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301271966",
            "telephone_number": "404-918-3670",
            "fax_number": "770-439-2058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO ATLANTA SURGICAL ASSISTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2014-04-02",
        "status": "A",
        "authorized_official_last_name": "ELDER",
        "authorized_official_first_name": "TORRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-918-3670"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "3553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physician Assistant in Powder Springs, GA
• Providers in Powder Springs, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; 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.