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PROLOGUE SURGICAL ASSISTING, LLC
NPI 1407371768
Physician Assistant - Surgical in Canton, GA

Active since August 08, 2017
3493 LOWER BURRIS RD, CANTON, GA 30114(770) 331-4217 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Aug 8, 2017 (2 updates tracked since 2017).

About Prologue Surgical Assisting, Llc NPPES

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

PROLOGUE SURGICAL ASSISTING, LLC (NPI 1407371768) is a healthcare organization registered as a surgical in Canton, Georgia and active in the NPI registry since August 2017. The organization lists Terri Rybak, Certified Surgical First Assistant, as its authorized official.

NPPES Registry Identity

NPI1407371768
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NamePROLOGUE SURGICAL ASSISTING, LLC
Location Address3493 LOWER BURRIS RDCanton, GA 30114
Mailing Address3493 Lower Burris RdCanton, GA 30114-4755 · (770) 331-4217
Phone(770) 331-4217
Organization SubpartNo
Authorized OfficialTerri RybakCertified Surgical First Assistant · (770) 331-4217
Enumeration DateAugust 8, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1407371768 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
3493 LOWER BURRIS RD, Canton, GA 30114
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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.

TERRI RYBAK CST/CSFA
Physician Assistant (Surgical)
3493 LOWER BURRIS RD
CANTON, GA 30114
Cherokee County (770) 331-4217

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 Prologue Surgical Assisting, LLC's NPI number?

The NPI number for Prologue Surgical Assisting, LLC is 1407371768. It was assigned to this organization in the NPPES registry on August 8, 2017.

Where is Prologue Surgical Assisting, LLC located?

Prologue Surgical Assisting, LLC is located at 3493 Lower Burris Rd, Canton, GA 30114. The listed phone number is (770) 331-4217.

What is Prologue Surgical Assisting, LLC'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 Prologue Surgical Assisting, LLC was last updated on July 21, 2022. 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.