SURGICAL OUTSOURCING LLC
NPI 1508579814
Physician Assistant - Surgical in Hampton, GA

Active since January 02, 2023
11565 CREEKSTONE RD, HAMPTON, GA 30228(404) 380-0360 Get Directions Write a Review

NPPES record last updated: January 8, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 8, 2026, Nov 9, 2023, Jan 2, 2023 (3 updates tracked since 2023).

  • Organization
  • Physician Assistant
  • Surgical

About SURGICAL OUTSOURCING LLC

This page provides the complete NPI Profile along with additional information for Surgical Outsourcing Llc, a provider established in Hampton, Georgia operating as a Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1508579814 assigned on January 2023. The practitioner's primary taxonomy code is 363AS0400X. The provider is registered as an organization and their NPI record was last updated one year ago. Surgical Outsourcing Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Ms. Amy Quadrena Harriel Csfa (Owner)

NPI
1508579814 Verify this NPI
Provider Name
SURGICAL OUTSOURCING LLC
Other Name Type
(6)
Entity Type
Organization
Location Address
11565 CREEKSTONE RD HAMPTON, GA 30228
Location Phone
(404) 380-0360
Mailing Address
11565 CREEKSTONE RD HAMPTON, GA 30228
Mailing Phone
(404) 380-0360
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-02-2023
Last Update Date
01-08-2026
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. AMY QUADRENA HARRIEL CSFA

Authorized Official Title
OWNER
Authorized Official Phone
(404) 380-0360

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Physician Assistant (Surgical)
11565 CREEKSTONE RD
HAMPTON, GA 30228

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508579814, enumerated as an "organization" on January 02, 2023.

The provider is located at 11565 CREEKSTONE RD HAMPTON, GA 30228 and the phone number is (404) 380-0360.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.