NORTHEAST GEORGIA SURGICAL ASSISTING
NPI 1306310099
Physician Assistant - Surgical in Jefferson, GA

Q: What is Northeast Georgia Surgical Assisting's NPI number?

The NPI number for Northeast Georgia Surgical Assisting is 1306310099. It was assigned to this organization in the NPPES registry on January 15, 2019.

Q: What is Northeast Georgia Surgical Assisting's specialty?

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

Active since January 15, 2019

780 HAWKINS CREEK DR, JEFFERSON, GA 30549(706) 870-1395 Get Directions Write a Review

NPPES record last updated: January 15, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Northeast Georgia Surgical Assisting NPPES

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

NORTHEAST GEORGIA SURGICAL ASSISTING (NPI 1306310099) is a healthcare organization registered as a surgical in Jefferson, Georgia and active in the NPI registry since January 2019. The organization lists Renah Gallagher, Owner, Independent Csfa, as its authorized official.

NPPES Registry Identity

NPI1306310099

Entity TypeOrganization

Primary Taxonomy363AS0400X

Legal Business NameNORTHEAST GEORGIA SURGICAL ASSISTING

Location Address780 HAWKINS CREEK DRJefferson, GA 30549-5416

Mailing Address780 Hawkins Creek DrJefferson, GA 30549-5416 · (706) 870-1395

Phone(706) 870-1395

Organization SubpartNo

Authorized OfficialRenah GallagherOwner, Independent Csfa · (706) 870-1395

Enumeration DateJanuary 15, 2019

✔ NPI 1306310099 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

780 HAWKINS CREEK DR, Jefferson, GA 30549

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Other Identifiers 1

Other186361GA · Csfa Certification Number

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.

RENAH ELIZABETH GALLAGHER CSFA

Physician Assistant (Surgical)

780 HAWKINS CREEK DR
JEFFERSON, GA 30549

Jackson County (706) 870-1395

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 Northeast Georgia Surgical Assisting's NPI number?

The NPI number for Northeast Georgia Surgical Assisting is 1306310099. It was assigned to this organization in the NPPES registry on January 15, 2019.

Where is Northeast Georgia Surgical Assisting located?

Northeast Georgia Surgical Assisting is located at 780 Hawkins Creek Dr, Jefferson, GA 30549. The listed phone number is (706) 870-1395.

What is Northeast Georgia Surgical Assisting'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 Northeast Georgia Surgical Assisting was last updated on January 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.