SURGIVUE FIRST ASSISTING
NPI 1821472077
Nurse Practitioner in Jonesboro, GA

Q: What is Surgivue First Assisting's NPI number?

The NPI number for Surgivue First Assisting is 1821472077. It was assigned to this organization in the NPPES registry on July 17, 2015.

Q: What is Surgivue First Assisting's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since July 17, 2015

5865 SINCLAIR WAY, JONESBORO, GA 30238(770) 985-4257(770) 985-4258 Get Directions Write a Review

NPPES record last updated: July 17, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Surgivue First Assisting NPPES

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

SURGIVUE FIRST ASSISTING (NPI 1821472077) is a healthcare organization registered as a nurse practitioner in Jonesboro, Georgia and active in the NPI registry since July 2015. The organization lists Pam Phillip, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1821472077

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameSURGIVUE FIRST ASSISTING

Location Address5865 SINCLAIR WAYJonesboro, GA 30238

Mailing Address5865 Sinclair WayJonesboro, GA 30238 · (770) 985-4257 · Fax (770) 985-4258

Phone(770) 985-4257

Fax(770) 985-4258

Organization SubpartNo

Authorized OfficialPam PhillipCredentialing Manager · (770) 985-4257

Enumeration DateJuly 17, 2015

✔ NPI 1821472077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in GA · RN183039

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

5865 SINCLAIR WAY, Jonesboro, GA 30238

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 Surgivue First Assisting's NPI number?

The NPI number for Surgivue First Assisting is 1821472077. It was assigned to this organization in the NPPES registry on July 17, 2015.

Where is Surgivue First Assisting located?

Surgivue First Assisting is located at 5865 Sinclair Way, Jonesboro, GA 30238. The listed phone number is (770) 985-4257.

What is Surgivue First Assisting's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Surgivue First Assisting was last updated on July 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.