Organization Active NPI

First Care Surgical Assistant

  • Surgical Assistant
  • Douglasville, GA
National Provider Identifier
1831690189
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
Legal business name
FIRST CARE SURGICAL ASSISTANT
Practice address
8486 Campbellton St # 392
Douglasville, GA 30134-1819
Phone
(470) 234-1117
Fax
(470) 410-4419
NPI assigned
Feb 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Authorized official

Name
Mr. Andre Jermaine McAllister, CSANPI 1588179162
Title
Surgical Assistant
Phone
(470) 234-1117

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 246ZC0007X 4854 GA
Surgical AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 246ZC0007X Primary

Addresses

Primary practice location

8486 Campbellton St # 392
Douglasville, GA 30134-1819

Mailing address

8486 Campbellton St # 392
Douglasville, GA 30134-1819
Phone (470) 234-1117

National Provider Directory

National Provider Directory

Locations

8486 Campbellton St
Unit 392
Douglasville, GA 30133

4644 Powder Springs Dallas Rd
Unit 1576
Powder Springs, GA 30127

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": "1519257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752796800000",
    "number": "1831690189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8486 CAMPBELLTON ST # 392",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301341819",
            "telephone_number": "470-234-1117",
            "fax_number": "470-410-4419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8486 CAMPBELLTON ST # 392",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301341819",
            "telephone_number": "470-234-1117",
            "fax_number": "470-410-4419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CARE SURGICAL ASSISTANT",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-22",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A",
        "authorized_official_last_name": "MCALLISTER",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_middle_name": "JERMAINE",
        "authorized_official_title_or_position": "SURGICAL ASSISTANT",
        "authorized_official_telephone_number": "470-234-1117",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CSA"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "GA",
            "license": "4854",
            "primary": false
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; 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.