Organization Active NPI

Atlanta Surgical Assistant,LLC.

  • Surgical Assistant
  • Lawrenceville, GA
National Provider Identifier
1972884229
Registry record updated Oct 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
Legal business name
ATLANTA SURGICAL ASSISTANT,LLC.
Practice address
1840 Angus Lee Dr
Lawrenceville, GA 30045-2764
Phone
(404) 931-1834
NPI assigned
Aug 31, 2011
Last updated
Oct 29, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2015

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

Authorized official

Name
Mr. Tu Oai Vu PhamNPI 1902187248
Title
Director
Phone
(404) 931-1843

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X NU Primary

Addresses

Primary practice location

1840 Angus Lee Dr
Lawrenceville, GA 30045-2764

Mailing address

1840 Angus Lee Dr
Lawrenceville, GA 30045-2764
Phone (404) 931-1834

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1314748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446076800000",
    "number": "1972884229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 ANGUS LEE DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300452764",
            "telephone_number": "404-931-1834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 ANGUS LEE DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300452764",
            "telephone_number": "404-931-1834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA SURGICAL ASSISTANT,LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-31",
        "last_updated": "2015-10-29",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "TU OAI",
        "authorized_official_middle_name": "VU",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "404-931-1843",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; 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.