Individual provider Active NPI

Vidal Bakshi, CST, CSFA

  • Surgical Assistant
  • Johns Creek, GA
National Provider Identifier
1982302386
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
215334 Issued in GA
Practice address
6325 Hospital Pkwy
Johns Creek, GA 30097-5775
Phone
(678) 474-7000
NPI assigned
Feb 16, 2023
Last updated
Apr 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X 215334 GA Primary

Addresses

Primary practice location

6325 Hospital Pkwy
Johns Creek, GA 30097-5775

Mailing address

3222 Grove Meadows CV
Lawrenceville, GA 30044-3459

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
215334GAMDSurgical Assistant

NPI Registry JSON

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

{
    "created_epoch": "1676505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1982302386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3222 GROVE MEADOWS CV",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300443459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6325 HOSPITAL PKWY",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300975775",
            "telephone_number": "678-474-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKSHI",
        "first_name": "VIDAL",
        "credential": "CST, CSFA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-16",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "GA",
            "license": "215334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johns Creek, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; 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.