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SPECTRUM SURGICAL LLC
NPI 1639704307
Physician Assistant - Surgical in Covington, GA

Active since March 03, 2020
3142 HIGHWAY 278 NW # 135, COVINGTON, GA 30014(678) 516-2119 Get Directions Write a Review

NPPES record last updated: March 3, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Spectrum Surgical Llc NPPES

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

SPECTRUM SURGICAL LLC (NPI 1639704307) is a healthcare organization registered as a surgical in Covington, Georgia and active in the NPI registry since March 2020. The organization lists Frank Paul Tanner, Certified Surgical Assistant, as its authorized official.

NPPES Registry Identity

NPI1639704307
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NameSPECTRUM SURGICAL LLC
Location Address3142 HIGHWAY 278 NW # 135Covington, GA 30014-2304
Mailing Address3142 Highway 278 Nw # 135Covington, GA 30014-2304 · (678) 516-2119
Phone(678) 516-2119
Organization SubpartNo
Authorized OfficialFrank Paul TannerCertified Surgical Assistant · (678) 516-2119
Enumeration DateMarch 3, 2020
NPPES CertifiedMarch 3, 2020
✔ NPI 1639704307 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
3142 HIGHWAY 278 NW # 135, Covington, GA 30014
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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

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 Spectrum Surgical LLC's NPI number?

The NPI number for Spectrum Surgical LLC is 1639704307. It was assigned to this organization in the NPPES registry on March 3, 2020.

Where is Spectrum Surgical LLC located?

Spectrum Surgical LLC is located at 3142 Highway 278 NW # 135, Covington, GA 30014. The listed phone number is (678) 516-2119.

What is Spectrum Surgical 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 Spectrum Surgical LLC was last updated on March 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.