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SOUTHERN SURGICAL ASSISTANTS, LLC
NPI 1063687267
Nurse Practitioner in Braselton, GA

Active since April 28, 2008
5742 ALLEE WAY, BRASELTON, GA 30517(678) 591-8344(770) 965-3365 Get Directions Write a Review

NPPES record last updated: November 28, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southern Surgical Assistants, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN SURGICAL ASSISTANTS, LLC (NPI 1063687267) is a healthcare organization registered as a nurse practitioner in Braselton, Georgia and active in the NPI registry since April 2008. The organization lists Joseph Henry Kanclerz, Owner, as its authorized official.

NPPES Registry Identity

NPI1063687267
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameSOUTHERN SURGICAL ASSISTANTS, LLC
Location Address5742 ALLEE WAYBraselton, GA 30517
Mailing AddressPo Box 7042Chestnut Mountain, GA 30502-0042 · (678) 591-8344 · Fax (770) 965-3365
Phone(678) 591-8344
Fax(770) 965-3365
Organization SubpartNo
Authorized OfficialJoseph Henry KanclerzOwner · (678) 591-8644
Enumeration DateApril 28, 2008
Last NPPES UpdateNovember 28, 2018
✔ NPI 1063687267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
5742 ALLEE WAY, Braselton, GA 30517
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JOSEPH HENRY KANCLERZ MSN, NP-C, RNFA
Nurse Practitioner
5742 ALLEE WAY
BRASELTON, GA 30517
Jackson County (678) 591-8344

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Surgical Assistants, LLC's NPI number?

The NPI number for Southern Surgical Assistants, LLC is 1063687267. It was assigned to this organization in the NPPES registry on April 28, 2008.

Where is Southern Surgical Assistants, LLC located?

Southern Surgical Assistants, LLC is located at 5742 Allee Way, Braselton, GA 30517. The listed phone number is (678) 591-8344.

What is Southern Surgical Assistants, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Southern Surgical Assistants, LLC was last updated on November 28, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.