Nwelite Surgical LLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

NWELITE SURGICAL LLC

Practice address

2205 Thicket CT NW
Acworth, GA 30102-7955

Phone

(770) 905-3089

Fax

(770) 675-3716

NPI assigned

Sep 11, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Telita Anthony

Title

Certified First Surgical Assist

Phone

(770) 905-3089

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1441929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456444800000",
    "number": "1982072609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 492",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301560492",
            "telephone_number": "770-905-3089",
            "fax_number": "770-675-3716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 THICKET CT NW",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301027955",
            "telephone_number": "770-905-3089",
            "fax_number": "770-675-3716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NWELITE SURGICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-11",
        "last_updated": "2016-02-26",
        "status": "A",
        "authorized_official_last_name": "ANTHONY",
        "authorized_official_first_name": "TELITA",
        "authorized_official_title_or_position": "CERTIFIED FIRST SURGICAL ASSIST",
        "authorized_official_telephone_number": "770-905-3089",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Novus Orthodontics of Georgia LLC
• Grace Chidinma Nwadike
• N Chris Nwankwo, RPH
• Chinyere Stella Nwegbo
• Chinedu Patrick Nweke, M.D
• Vivian Nwokike Nwokike
• Karen O'Malley, M.S., LMFT, RPT
• Meghan O'Malley
• Kevin Michael O'Neill, MS, OTR/L
• Terrence Michael O'Shea, D.D.S.

• Surgical Physician Assistant in Acworth, GA
• Providers in Acworth, 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 Feb 26, 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.