MOORE SURGICAL ASSISTANT, LLC
NPI 1679017750
Specialist/Technologist, Other - Surgical Assistant in Kingston, GA

Active since December 08, 2016
80 MOORE RD, KINGSTON, GA 30145(770) 842-1857(770) 606-0600 Get Directions Write a Review

NPPES record last updated: December 8, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Specialist/Technologist, Other
  • Surgical Assistant

About MOORE SURGICAL ASSISTANT, LLC

This page provides the complete NPI Profile along with additional information for Moore Surgical Assistant, Llc, a provider established in Kingston, Georgia operating as a Specialist/technologist, Other, focusing in surgical assistant . The healthcare provider is registered in the NPI registry with number 1679017750 assigned on December 2016. The practitioner's primary taxonomy code is 246ZC0007X. The provider is registered as an organization and their NPI record was last updated 10 years ago. Moore Surgical Assistant, 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 Vicki L Moore Cst/csfa (Preisdent)

NPI
1679017750 Verify this NPI
Provider Name
MOORE SURGICAL ASSISTANT, LLC
Entity Type
Organization
Location Address
80 MOORE RD KINGSTON, GA 30145
Location Phone
(770) 842-1857
Location Fax
(770) 606-0600
Mailing Address
80 MOORE RD KINGSTON, GA 30145
Mailing Phone
(770) 842-1857
Mailing Fax
(770) 606-0600
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-08-2016
Last Update Date
12-08-2016
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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

Specialist/Technologist, Other Surgical Assistant

Taxonomy Code
246ZC0007X
Type
Technologists, Technicians & Other Technical Service Providers
Taxonomy Description
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.

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

VICKI L MOORE CST/CSFA

Authorized Official Title
PREISDENT
Authorized Official Phone
(770) 842-1857

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679017750, enumerated as an "organization" on December 08, 2016.

The provider is located at 80 MOORE RD KINGSTON, GA 30145 and the phone number is (770) 842-1857.

Specialist/Technologist, Other with taxonomy code 246ZC0007X and a focus in Surgical Assistant.