Highland Surgical Assistant, LLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

3245 Issued in GA

Legal business name

HIGHLAND SURGICAL ASSISTANT, LLC

Practice address

11340 Lakefield Dr
Suite 200
Johns Creek, GA 30097-1714

Phone

(770) 629-8289

Fax

(404) 393-9515

NPI assigned

Sep 11, 2015

Last updated

Sep 2, 2016By 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

Mr. Wesley Lagregory Mitchell Jr.

Title

Ceo

Phone

(770) 629-8289

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1441929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472774400000",
    "number": "1932577673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11340 LAKEFIELD DR",
            "address_2": "SUITE 200",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300971714",
            "telephone_number": "770-629-8289",
            "fax_number": "404-393-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11340 LAKEFIELD DR",
            "address_2": "SUITE 200",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300971714",
            "telephone_number": "770-629-8289",
            "fax_number": "404-393-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND SURGICAL ASSISTANT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-11",
        "last_updated": "2016-09-02",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "LAGREGORY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-629-8289",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "GA",
            "license": "3245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathon Blake Hendrix, CRNA
• Robert Ian Henyon, APC
• Kayla Herren
• Susan Herrmann, PT
• James Hicks Jr., D.M.D.
• Dorkesha Marvena Denise Hill, ATC
• George Lee Hill
• Shumeka Tareesa Hill, APN
• Annette Marie Hinchcliffe, M.D.
• Natalie Frances Hire, M.ED., CCC-SLP

• Surgical Physician Assistant in Johns Creek, GA
• Providers in Johns Creek, GA by specialty
• Surgical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; 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.