Organization Active NPI

Golden Surgical Associates Group, LLC

  • Surgical Physician Assistant
  • Alpharetta, GA
National Provider Identifier
1831557842
Registry record updated Jun 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
GOLDEN SURGICAL ASSOCIATES GROUP, LLC
Practice address
2400 Old Milton Parkway
#1433
Alpharetta, GA 30009
Phone
(470) 239-8860
Fax
(866) 830-3721
NPI assigned
Feb 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2018

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

Authorized official

Name
Nikki Williams
Title
Ed
Phone
(404) 931-0224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AS0400X Primary

Addresses

Primary practice location

2400 Old Milton Parkway
#1433
Alpharetta, GA 30009

Mailing address

PO Box 1433
Alpharetta, GA 30009-1433
Phone (470) 239-8860

National Provider Directory

National Provider Directory

Locations

2400 Old Milton Pkwy
Unit 1433
Alpharetta, GA 30009
Phone (404) 729-7644

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1454544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529625600000",
    "number": "1831557842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1433",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300091433",
            "telephone_number": "470-239-8860",
            "fax_number": "866-830-3721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 OLD MILTON PARKWAY",
            "address_2": "#1433",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "30009",
            "telephone_number": "470-239-8860",
            "fax_number": "866-830-3721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN SURGICAL ASSOCIATES GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-04",
        "last_updated": "2018-06-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "NIKKI",
        "authorized_official_title_or_position": "ED",
        "authorized_official_telephone_number": "404-931-0224"
    },
    "taxonomies": [
        {
            "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 Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2018; 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.