MICHELLE L DALLAS CST/CSFA
NPI 1578447033
Specialist/Technologist, Other - Surgical Assistant in Augusta, GA

Q: What is Michelle Dallas's NPI number?

The NPI number for Michelle Dallas is 1578447033. It was assigned to this individual provider in the NPPES registry on August 5, 2025.

Q: What is Michelle Dallas's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

Q: When was this NPI record last updated?

The NPPES record for Michelle Dallas was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.

Active since August 05, 2025PECOS Enrolled

1350 WALTON WAY, AUGUSTA, GA 30901(706) 722-9011 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: September 13, 2026.

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About Michelle L Dallas Cst/csfa NPPES

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

MICHELLE L DALLAS CST/CSFA (NPI 1578447033) is an individual surgical assistant in Augusta, Georgia and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578447033

Entity TypeIndividualFemale

Primary Taxonomy246ZC0007X

Provider Legal NameMICHELLE L DALLASCredential: CST/CSFA

Location Address1350 WALTON WAYAugusta, GA 30901-2612

Mailing Address3547 Walker Creek RdHephzibah, GA 30815-5168 · (706) 836-8613

Phone(706) 722-9011

Sole ProprietorYes

Enumeration DateAugust 5, 2025

NPPES CertifiedAugust 5, 2025

✔ NPI 1578447033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Other · Surgical AssistantTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code246ZC0007X

Definition

A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.

1350 WALTON WAY, Augusta, GA 30901

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle L Dallas Cst/csfa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

ENOCH BUSULWA LULE M.D.

Internal Medicine

1350 WALTON WAY
AUGUSTA, GA 30901

Richmond County (706) 774-5542

DR. MARY TANEOUS MD

Pathology (Anatomic Pathology & Clinical Pathology)

1350 WALTON WAY
AUGUSTA, GA 30901

Richmond County (706) 774-5400

PRIYA DHARSHINI RAVINDRAN MD

Internal Medicine (Gastroenterology)

1350 WALTON WAY
AUGUSTA, GA 30901

Richmond County (706) 774-5795

DR. KAILASH B SHARMA MD

Pathology (Anatomic Pathology & Clinical Pathology)

1350 WALTON WAY
AUGUSTA, GA 30901

Richmond County (706) 774-5400

MICHEL TANIOS M.D.

Internal Medicine

1350 WALTON WAY, HOSPITALISTS
AUGUSTA, GA 30901

Richmond County (706) 774-7263

FLYNT STEBBINS CONNOR M.S., CCC-SLP

Speech-Language Pathologist

1350 WALTON WAY
AUGUSTA, GA 30901

Richmond County (706) 774-2166

LAURA ENZ

Speech-Language Pathologist

1350 WALTON WAY
AUGUSTA, GA 30901

Richmond County (706) 774-2166

CANDACE M CURTIS MD

Anesthesiology

1350 WALTON WAY
AUGUSTA, GA 30901

Richmond County (706) 737-6950

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 Michelle Dallas's NPI number?

The NPI number for Michelle Dallas is 1578447033. It was assigned to this individual provider in the NPPES registry on August 5, 2025.

Where is Michelle Dallas located?

Michelle Dallas practices at 1350 Walton Way, Augusta, GA 30901. The listed phone number is (706) 722-9011.

What is Michelle Dallas's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

Is Michelle Dallas enrolled in Medicare?

Yes. Michelle Dallas is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michelle Dallas was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.