SURGICAL
NPI 1588641906
Physician Assistant - Surgical in Duluth, GA

NPI Status: Active since December 28, 2005

Contact Information

3400 MCCLURE BRIDGE RD
BUILDING B
DULUTH, GA
ZIP 30096
Phone: (678) 957-8801
Fax: (678) 990-0176

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  • Organization
  • Physician Assistant
  • Surgical

About SURGICAL

This page provides the complete NPI Profile along with additional information for Surgical, a provider established in Duluth, Georgia operating as a Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1588641906 assigned on December 2005. The practitioner's primary taxonomy code is 363AS0400X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Surgical operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Ms. Sarah Gerald (Billing Manager)

NPI
1588641906
Provider Name
SURGICAL
Entity Type
Organization
Location Address
3400 MCCLURE BRIDGE RD BUILDING B DULUTH, GA 30096
Location Phone
(678) 957-8801
Location Fax
(678) 990-0176
Mailing Address
3400 MCCLURE BRIDGE RD BUILDING B DULUTH, GA 30096
Mailing Phone
(678) 957-8801
Mailing Fax
(678) 990-0176
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-28-2005
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. SARAH GERALD

Authorized Official Title
BILLING MANAGER
Authorized Official Phone
(678) 957-8801

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1588641906
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25168124290
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 6 + 8 + 1 + 2 + 4 + 2 + 9 + 0 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1588641906 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 17 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1912903485DR. PHILIP R KENNEDY MD
Individual
Psychiatry & Neurology (Neurology)3400 MCCLURE BRIDGE RD SUITE D401
DULUTH, GA 30096
(770) 622-2230
1619959756 ELLIOTT BUTLER PA-C
Individual
Physician Assistant (Surgical)3400 MCCLURE BRIDGE RD B201
DULUTH, GA 30096
(678) 957-8801
1851373740 DINA FORSTHOFFER DLUGOS PA-C
Individual
Physician Assistant (Surgical)3400 MCCLURE BRIDGE RD B201
DULUTH, GA 30096
(678) 957-8801
1932174216DR. FRANCISCO J NEGRI MD
Individual
Surgery3400 MCCLURE BRIDGE RD BUILDING B201
DULUTH, GA 30096
(678) 957-8801
1689691495NEURAL SIGNALS INC
Organization
Durable Medical Equipment & Medical Supplies (Customized Equipment)3400 MCCLURE BRIDGE RD BLDG D SUITE B
DULUTH, GA 30096
(770) 220-9964
1417977885SURGICAL ASSISTANTS OF AMERICA, INC.
Organization
Surgery3400 MCCLURE BRIDGE RD BUILDING B201
DULUTH, GA 30096
(678) 957-8801
1902818032 MICHELLE MORANTE P.A.
Individual
Physician Assistant (Surgical)3400 MCCLURE BRIDGE RD BUILDING B
DULUTH, GA 30096
(678) 957-8801
1871688317DR. JAMES CLINTON CRONAN JR. M.D.
Individual
Surgery3400 MCCLURE BRIDGE RD BUILDING B201
DULUTH, GA 30096
(678) 957-8801
1164614608COMMUNITY NEUROLOGICAL CLINIC
Organization
Specialist3400 MCCLURE BRIDGE RD SUITE D401
DULUTH, GA 30096
(770) 622-2230
1154586667MBS CONNECTION LLC
Organization
Clinic/Center (Health Service)3400 MCCLURE BRIDGE RD BLDG F, STE A
DULUTH, GA 30096
(678) 371-6463
1972889491HAND TO SHOULDER THERAPY SPECIALISTS OF DULUTH
Organization
Occupational Therapist (Hand)3400 MCCLURE BRIDGE RD F601
DULUTH, GA 30096
(678) 682-8828
1811942857DR. YOON JAE LEE M.D.
Individual
Internal Medicine (Gastroenterology)3400 MCCLURE BRIDGE RD A102
DULUTH, GA 30096
(678) 473-1445
1679960884ALLYS SERNIOR SERVICES, INC.
Organization
Health Maintenance Organization3400 MCCLURE BRIDGE RD BUILDING C-301
DULUTH, GA 30096
(404) 839-3631
1063860740ALPHA RECOVERY GROUP INC
Organization
Clinic/Center (Methadone)3400 MCCLURE BRIDGE RD BUILDING C, SUIT A&B
DULUTH, GA 30096
(770) 896-6730
1346382678DR. RAMANI GOWDUCHERUVU DDS
Individual
Dentist (Oral and Maxillofacial Surgery)3400 MCCLURE BRIDGE RD BLDG G, SUITES B AND C
DULUTH, GA 30096
(770) 476-8576
1558115485NORTH GEORGIA ORAL AND FACIAL SURGERY LLC
Organization
Dentist (Oral and Maxillofacial Surgery)3400 MCCLURE BRIDGE RD BLDG G, SUITES B AND C
DULUTH, GA 30096
(770) 476-8576
1750993655GWINNETT BREASTFEEDING, LLC
Organization
Lactation Consultant, Non-RN3400 MCCLURE BRIDGE RD BUILDING C, UNIT A
DULUTH, GA 30096
(678) 750-3121

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588641906, enumerated in the NPI registry as an "organization" on December 28, 2005

The provider is located at 3400 Mcclure Bridge Rd Building B Duluth, Ga 30096 and the phone number is (678) 957-8801

This medical organization specializes in Physician Assistant with taxonomy code 363AS0400X with a focus in Surgical

This NPI record was last updated on December 28, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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