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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: August 09, 2026.

About Moore Surgical Assistant, Llc NPPES

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

MOORE SURGICAL ASSISTANT, LLC (NPI 1679017750) is a healthcare organization registered as a surgical assistant in Kingston, Georgia and active in the NPI registry since December 2016. The organization lists Vicki L Moore, Preisdent, as its authorized official.

NPPES Registry Identity

NPI1679017750
Entity TypeOrganization
Primary Taxonomy246ZC0007X
Legal Business NameMOORE SURGICAL ASSISTANT, LLC
Location Address80 MOORE RDKingston, GA 30145-2619
Mailing Address80 Moore RdKingston, GA 30145-2619 · (770) 842-1857 · Fax (770) 606-0600
Phone(770) 842-1857
Fax(770) 606-0600
Organization SubpartNo
Authorized OfficialVicki L MoorePreisdent · (770) 842-1857
Enumeration DateDecember 8, 2016
✔ NPI 1679017750 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.
80 MOORE RD, Kingston, GA 30145
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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 Moore Surgical Assistant, LLC's NPI number?

The NPI number for Moore Surgical Assistant, LLC is 1679017750. It was assigned to this organization in the NPPES registry on December 8, 2016.

Where is Moore Surgical Assistant, LLC located?

Moore Surgical Assistant, LLC is located at 80 Moore Rd, Kingston, GA 30145. The listed phone number is (770) 842-1857.

What is Moore Surgical Assistant, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Moore Surgical Assistant, LLC was last updated on December 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.