ATLANTA SURGICAL 1ST ASSIST P.C. (NPI# 1386813129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386813129 |
| Entity Type | Organization |
| Organization Name | ATLANTA SURGICAL 1ST ASSIST P.C. |
| Practice Address |
2801 N Decatur Rd Suite 200 Decatur GA 30033-5949 |
| Practice Telephone | 4042965005 |
| Practice Fax Number | 4042962070 |
| Mailing Telephone | 4042965005 |
| Mailing Fax Number | 4042962070 |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2008-02-26 |
| Authorized Official Name | CHERYL FORTUNE (OWNER) |
| Authorized Official Telephone | 4042965005 |
| Authorized Official Credential | RNFA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SM0705X |
Clinical Nurse Specialist Specialization: Medical-Surgical |
RN050722 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2801 N DECATUR RD SUITE 200 |
| City | DECATUR |
| State | GA |
| Zip Code | 30033-5949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669471728 | Atlanta Center for Medicine II PC | Clinic/Center | 2801 N Decatur Rd, Suite 300, Decatur, GA 30033-5949 | 2005-07-20 |
| 1104339324 | Oms, LLC | Physician Assistant | 2801 N Decatur Rd, Decatur, GA 30033-5949 | 2017-11-09 |
| 1972021962 | Omid Midanaky | Physician Assistant | 2801 N Decatur Rd, Decatur, GA 30033-5949 | 2017-08-30 |
| 1780130120 | Margaret Claire Layman | Physical Therapist | 2801 N Decatur Rd, Suite 230, Decatur, GA 30033-5949 | 2016-08-26 |
| 1386020188 | Katherine Moise | Physical Therapist | 2801 N Decatur Rd, Suite 230, Decatur, GA 30033-5949 | 2015-08-04 |
| 1487039673 | Alig Orthopedics LLC | Physician Assistant | 2801 N Decatur Rd, Decatur, GA 30033-5949 | 2015-07-29 |
| 1558741207 | Patricio Morchio | Physical Therapist | 2801 N Decatur Rd, Suite 230, Decatur, GA 30033-5949 | 2015-06-08 |
| 1164816104 | Christine Chang | Family Medicine | 2801 N Decatur Rd, Decatur, GA 30033 | 2015-03-27 |
| 1982093480 | Southeastern Orthopedic Surgical Pa, LLC | Physician Assistant | 2801 N Decatur Rd, Suite 200, Decatur, GA 30033-5949 | 2015-01-21 |
| 1538586995 | Dekalb Gpo LLC | Family Medicine | 2801 N Decatur Rd, Suite 200, Decatur, GA 30033-5949 | 2014-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922613785 | Healing Minds, Helping Hearts, LLC | Social Worker | 2532 N Decatur Rd, Apt 1304, Decatur, GA 30033 | 2020-09-09 |
| 1700412517 | Delana Finney | Orthotist | Vamc - Atlanta, 1670 Clairmont Rd, Decatur, GA 30033 | 2020-03-13 |
| 1194389353 | Katherine Serafen | Physician Assistant | 2701 N Decatur Road, Ground Floor Suite 520, Decatur, GA 30033 | 2019-04-23 |
| 1194290973 | Suzanne Johnson | Psychologist | Atlanta Va Health Care System, 1670 Clairmont Rd, Decatur, GA 30033 | 2018-10-09 |
| 1245705334 | Mcleod Counseling Services, LLC | Clinic/Center | 2801 N. Decatur Rd, Suite 185, Decatur, GA 30033 | 2018-10-04 |
| 1225514797 | Erkin Mirkhatovich Turganov | Pharmacist | 2951 Cedar Brook Dr, Decatur, GA 30033 | 2018-07-17 |
| 1356834972 | Sharlencia Lord | Nurse Practitioner | 2738 N Decatur Rd # 292-3173, Decatur, GA 30033 | 2018-06-08 |
| 1194213140 | Zacarias Yanis Jr. | Clinical Neuropsychologist | 1276 Mcconnell Drive Ste C., Decatur, GA 30033 | 2018-04-25 |
| 1780181370 | Ryan Patton | Orthopaedic Surgery | 2723 Hollywood Dr, Decatur, GA 30033 | 2018-04-10 |
| 1437669751 | Sholanda D Hooper | Nurse Practitioner | 1601 Clairmont Rd, Decatur, GA 30033 | 2017-10-02 |
| Find all providers in zip 30033 | ||||
| Taxonomy Code | 364SM0705X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Medical-Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386917045 | Heather Woodward Melvin | Clinical Nurse Specialist | 1610 Forsyth St, Macon, GA 31201-1408 | 2012-02-10 |
| 1174788509 | Beverly Cummins | Clinical Nurse Specialist | 2047 Reflective Waters Rd, Villa Rica, GA 30180-6971 | 2008-07-24 |
| 1477923704 | Melissa Ann Carroll | Clinical Nurse Specialist | 190 Bear Creek Rd, Moreland, GA 30259-2813 | 2015-09-29 |
| 1487646287 | Amanda Kathryn Klosky | Clinical Nurse Specialist | 2001 Peachtree Rd Ne, Ste 705, Atlanta, GA 30309-1476 | 2005-08-17 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.