PHYSICIAN ASSISTANT SURGICAL SOLUTIONS
NPI 1205440054
Physician Assistant - Surgical in Kennesaw, GA

NPI Status: Active since August 31, 2020

Contact Information

4290 BELLS FERRY ROAD
SUITE 134 - 1032
KENNESAW, GA
ZIP 30144
Phone: (770) 325-0836
Fax: (770) 670-4764

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  • Organization
  • Physician Assistant
  • Surgical

About PHYSICIAN ASSISTANT SURGICAL SOLUTIONS

This page provides the complete NPI Profile along with additional information for Physician Assistant Surgical Solutions, a provider established in Kennesaw, Georgia operating as a Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1205440054 assigned on August 2020. The practitioner's primary taxonomy code is 363AS0400X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Physician Assistant Surgical Solutions operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Lindsey Nicole Parks Pa-c (Owner/ceo)

NPI
1205440054
Provider Name
PHYSICIAN ASSISTANT SURGICAL SOLUTIONS
Entity Type
Organization
Location Address
4290 BELLS FERRY ROAD SUITE 134 - 1032 KENNESAW, GA 30144
Location Phone
(770) 325-0836
Location Fax
(770) 670-4764
Mailing Address
4290 BELLS FERRY ROAD SUITE 134 - 1032 KENNESAW, GA 30144
Mailing Phone
(770) 325-0836
Mailing Fax
(770) 670-4764
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-31-2020
Last Update Date
08-31-2020
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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

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208600000XAllopathic & Osteopathic Physicians

Surgery

 
2246ZC0007XTechnologists, Technicians & Other Technical Service Providers

Specialist/Technologist, Other
Surgical Assistant

 

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

LINDSEY NICOLE PARKS PA-C

Authorized Official Title
OWNER/CEO
Authorized Official Phone
(770) 325-0836

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1205440054, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
0
Doubled → 0
Pos 4
5
Unchanged
Pos 5
4
Doubled → 8
Pos 6
4
Unchanged
Pos 7
0
Doubled → 0
Pos 8
0
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 4 → 8 0 → 0 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 0 + 5 + 8 + 4 + 0 + 0 + 1 + 0 + 24 = 46

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 46 is 50. The difference is the calculated check digit.

50 - 46 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1205440054.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205440054, enumerated as an "organization" on August 31, 2020.

The provider is located at 4290 BELLS FERRY ROAD SUITE 134 - 1032 KENNESAW, GA 30144 and the phone number is (770) 325-0836.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.