SPECIFIED SOLUTIONS SURGICAL ASSOCIATES, INC.
NPI 1255700092
Physician Assistant - Surgical in Mcdonough, GA

Active since September 23, 2015
156 FOSTER DR STE A, MCDONOUGH, GA 30253(404) 932-0295 Get Directions Write a Review

NPPES record last updated: December 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 5, 2025, Sep 30, 2015 (2 updates tracked since 2015).

About Specified Solutions Surgical Associates, Inc. NPPES

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

SPECIFIED SOLUTIONS SURGICAL ASSOCIATES, INC. (NPI 1255700092) is a healthcare organization registered as a surgical in Mcdonough, Georgia and active in the NPI registry since September 2015. The organization lists Jerrod Laquinton Williams, Owner, as its authorized official.

NPPES Registry Identity

NPI1255700092
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NameSPECIFIED SOLUTIONS SURGICAL ASSOCIATES, INC.
Location Address156 FOSTER DR STE AMcdonough, GA 30253-5346
Mailing Address207 Arabella PkwyLocust Grove, GA 30248-4250 · (404) 932-0295
Organization SubpartNo
Authorized OfficialJerrod Laquinton WilliamsOwner · (404) 932-0295
Enumeration DateSeptember 23, 2015
Last NPPES UpdateDecember 5, 20252 updates tracked since enumeration
NPPES CertifiedDecember 5, 2025
NPI 1255700092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in DC · 2610
156 FOSTER DR STE A, Mcdonough, GA 30253

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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.

Clinic/Center (Ambulatory Surgical)
156 FOSTER DR STE A
MCDONOUGH, GA 30253

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 Specified Solutions Surgical Associates, Inc.'s NPI number?

The NPI number for Specified Solutions Surgical Associates, Inc. is 1255700092. It was assigned to this organization in the NPPES registry on September 23, 2015.

Where is Specified Solutions Surgical Associates, Inc. located?

Specified Solutions Surgical Associates, Inc. is located at 156 Foster Dr Ste A, Mcdonough, GA 30253. The listed phone number is (404) 932-0295.

What is Specified Solutions Surgical Associates, Inc.'s specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Specified Solutions Surgical Associates, Inc. was last updated on December 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.