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SOUTHERN SURGICAL ASSISTANTS LLC
NPI 1417224650
Nurse Practitioner in Cumming, GA

Active since November 16, 2011
1200 NORTHSIDE FORSYTH DR, CUMMING, GA 30041(770) 844-3200 Get Directions Write a Review

NPPES record last updated: September 17, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southern Surgical Assistants Llc NPPES

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

SOUTHERN SURGICAL ASSISTANTS LLC (NPI 1417224650) is a healthcare organization registered as a nurse practitioner in Cumming, Georgia and active in the NPI registry since November 2011. The organization lists Joseph Kanclerz, Ceo, as its authorized official.

NPPES Registry Identity

NPI1417224650
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameSOUTHERN SURGICAL ASSISTANTS LLC
Location Address1200 NORTHSIDE FORSYTH DRCumming, GA 30041-7659
Mailing AddressPo Box 7042Chestnut Mountain, GA 30502-0042 · (678) 591-8344
Phone(770) 844-3200
Organization SubpartNo
Authorized OfficialJoseph KanclerzCeo · (678) 591-8344
Enumeration DateNovember 16, 2011
Last NPPES UpdateSeptember 17, 2015
✔ NPI 1417224650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in GA · RN177592
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1200 NORTHSIDE FORSYTH DR, Cumming, GA 30041
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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 20

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

SARAH GARVIN PHARMD
Pharmacist
1200 NORTHSIDE FORSYTH DR
CUMMING, GA 30041
Forsyth County (770) 844-3200
COLTEN RYAN PHARMD
Pharmacist
1200 NORTHSIDE FORSYTH DR
CUMMING, GA 30041
Forsyth County (770) 844-3200
COLEMAN UNDERHILL
Dietitian, Registered
1200 NORTHSIDE FORSYTH DR
CUMMING, GA 30041
Forsyth County (404) 202-9390
MRS. RHONDA RENEE JONES R.PH.
Pharmacist
1200 NORTHSIDE FORSYTH DR
CUMMING, GA 30041
Forsyth County (770) 844-3290
RAGHUNATH R KATRAGADDA MD
Internal Medicine (Cardiovascular Disease)
1200 NORTHSIDE FORSYTH DR
CUMMING, GA 30041
Forsyth County (770) 844-3200
DR. ARINZE HECTOR DURU M.D
Internal Medicine
1200 NORTHSIDE FORSYTH DR
CUMMING, GA 30041
Forsyth County (770) 844-3200
DR. JEFFREY DESALVO M.D.
Hospitalist
1200 NORTHSIDE FORSYTH DR
CUMMING, GA 30041
Forsyth County (770) 844-3200
ERIC STEVEN CROWSON
Pharmacist
1200 NORTHSIDE FORSYTH DR
CUMMING, GA 30041
Forsyth County (770) 844-3396

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 Southern Surgical Assistants LLC's NPI number?

The NPI number for Southern Surgical Assistants LLC is 1417224650. It was assigned to this organization in the NPPES registry on November 16, 2011.

Where is Southern Surgical Assistants LLC located?

Southern Surgical Assistants LLC is located at 1200 Northside Forsyth Dr, Cumming, GA 30041. The listed phone number is (770) 844-3200.

What is Southern Surgical Assistants LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Southern Surgical Assistants LLC was last updated on September 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.