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OLYMPIAN SURGICAL ASSISTANTS
NPI 1366978991
Physician Assistant - Surgical in Marietta, GA

Active since May 02, 2017
55 ATLANTA ST SE STE 204, MARIETTA, GA 30060(678) 517-3428(770) 485-1534 Get Directions Write a Review

NPPES record last updated: November 24, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Olympian Surgical Assistants NPPES

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

OLYMPIAN SURGICAL ASSISTANTS (NPI 1366978991) is a healthcare organization registered as a surgical in Marietta, Georgia and active in the NPI registry since May 2017. The organization lists Brandon Virdell King, Owner/director, as its authorized official.

NPPES Registry Identity

NPI1366978991
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NameOLYMPIAN SURGICAL ASSISTANTS
Location Address55 ATLANTA ST SE STE 204Marietta, GA 30060-1977
Mailing AddressPo Box 81Marietta, GA 30061-0081 · (678) 517-3428 · Fax (770) 485-1534
Phone(678) 517-3428
Fax(770) 485-1534
Organization SubpartNo
Authorized OfficialBrandon Virdell KingOwner/director · (678) 517-3428
Enumeration DateMay 2, 2017
Last NPPES UpdateNovember 24, 2021
NPPES CertifiedNovember 24, 2021
✔ NPI 1366978991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Also ListedSurgeryTaxonomy 208600000X · License 051517853 (GA)
55 ATLANTA ST SE STE 204, Marietta, GA 30060
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Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
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 2

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

MR. BRANDON VIRDELL KING CSA, CSFA
Physician Assistant (Surgical)
55 ATLANTA ST SE STE 204
MARIETTA, GA 30060
Cobb County (678) 517-3428
IBRAHIM KHAIRY FAYED ELSHAMLY SC-A
Specialist/Technologist, Other (Surgical Assistant)
55 ATLANTA ST SE STE 204
MARIETTA, GA 30060
Cobb County (678) 517-3428

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 Olympian Surgical Assistants's NPI number?

The NPI number for Olympian Surgical Assistants is 1366978991. It was assigned to this organization in the NPPES registry on May 2, 2017.

Where is Olympian Surgical Assistants located?

Olympian Surgical Assistants is located at 55 Atlanta St SE Ste 204, Marietta, GA 30060. The listed phone number is (678) 517-3428.

What is Olympian Surgical Assistants'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 Olympian Surgical Assistants was last updated on November 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.