Surgical Specialists of Georgia, PC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

035736 Issued in GA

Legal business name

SURGICAL SPECIALISTS OF GEORGIA, PC

Doing business as

Vascular Disease Institute, PC

Practice address

1250 Jesse Jewell Pkwy SE
Suite 300
Gainesville, GA 30501-3871

Phone

(770) 534-0110

Fax

(770) 534-2555

NPI assigned

Nov 28, 2006

Last updated

Jul 10, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Amy D Seabolt, BSBA

Title

Business Office Manager

Phone

(770) 534-0110

Specialties & licenses 4

Addresses

Other names 1

• Vascular Disease Institute, PC Doing business as

Locations

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247184000000",
    "number": "1861568040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 JESSE JEWELL PKWY SE",
            "address_2": "SUITE 300",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013871",
            "telephone_number": "770-534-0110",
            "fax_number": "770-534-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 JESSE JEWELL PKWY SE",
            "address_2": "SUITE 300",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013871",
            "telephone_number": "770-534-0110",
            "fax_number": "770-534-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL SPECIALISTS OF GEORGIA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2009-07-10",
        "status": "A",
        "authorized_official_last_name": "SEABOLT",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "770-534-0110",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BSBA"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "GA",
            "license": "050992",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "GA",
            "license": "059108",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "GA",
            "license": "035736",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN171688NP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vascular Disease Institute, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Murtaza Ali Sundhu, MD
• Sunshine Therapy LLC
• Supreme Healthcare LLC (Interim Healthcare of Gainesville)
• Supreme Speech Therapy Services
• Surgical Services LLC
• Brenda B Surles, M.D.
• Laurie Kuhn Surls, R.N.
• Arnold Edward Sutton II, M.D.
• Molly McDonald Sutton, APRN-FNP
• Svap Med LLC (Metro Atlanta Primary Care)

• Vascular Surgery Physician in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Vascular Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2009; 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.