Active NPI
Marty A. Sons, CSA
- Surgical Assistant
- Acworth, GA
National Provider Identifier
1992721922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 2616
- Practice address
- 1103 Peaks Way
Acworth, GA 30102-1993 - Phone
- (678) 229-1552
- Fax
- (770) 926-7519
- NPI assigned
- Jul 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 2616 | GA | Primary |
Addresses
Primary practice location
1103 Peaks Way
Acworth, GA 30102-1993
Mailing address
PO Box 2301
Acworth, GA 30102-0006
Phone (678) 229-1552
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2616 | GA | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225411200000",
"number": "1992721922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2301",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301020006",
"telephone_number": "678-229-1552",
"fax_number": "770-926-7519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1103 PEAKS WAY",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301021993",
"telephone_number": "678-229-1552",
"fax_number": "770-926-7519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SONS",
"first_name": "MARTY",
"middle_name": "A.",
"credential": "CSA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2008-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "GA",
"license": "2616",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Acworth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.