SUMMIT SURGICAL SPECIALISTS PC
NPI 1295880763
Specialist in Marietta, GA

Active since January 24, 2007
590 NANCY ST NW, MARIETTA, GA 30060(770) 423-0395(770) 499-0352 Get Directions Write a Review

NPPES record last updated: August 31, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Summit Surgical Specialists Pc NPPES

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

SUMMIT SURGICAL SPECIALISTS PC (NPI 1295880763) is a healthcare organization registered as a specialist in Marietta, Georgia and active in the NPI registry since January 2007. The organization lists Cheryl J Richards, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1295880763
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSUMMIT SURGICAL SPECIALISTS PC
Location Address590 NANCY ST NWMarietta, GA 30060-1334
Mailing Address590 Nancy St NwMarietta, GA 30060-1334 · (770) 423-0395 · Fax (770) 499-0352
Fax(770) 499-0352
Organization SubpartNo
Authorized OfficialCheryl J RichardsPractice Manager · (770) 423-0395
Enumeration DateJanuary 24, 2007
Last NPPES UpdateAugust 31, 2010
NPI 1295880763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

590 NANCY ST NW, Marietta, GA 30060

Other Identifiers 2

Medicare ID-Type UnspecifiedGRP297GA · Medicare Group Number
Medicaid55001233AGA

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 10

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

Surgery
590 NANCY ST NW
MARIETTA, GA 30060
Surgery (Surgical Oncology)
590 NANCY ST NW
MARIETTA, GA 30060
Surgery
590 NANCY ST NW
MARIETTA, GA 30060
Surgery (Surgical Oncology)
590 NANCY ST NW
MARIETTA, GA 30060
Surgery
590 NANCY ST NW
MARIETTA, GA 30060
Surgery
590 NANCY ST NW
MARIETTA, GA 30060
Surgery
590 NANCY ST NW
MARIETTA, GA 30060
Physician Assistant
590 NANCY ST NW
MARIETTA, GA 30060

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295880763, enumerated as an "organization" on January 24, 2007.

The provider is located at 590 NANCY ST NW MARIETTA, GA 30060 and the phone number is (770) 423-0395.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.