P Praxis·MD
● Active Type 2 · Organization

Specified Solutions Surgical Associates, Inc.

Physician Assistant·McDonough, GA· NPI 1255700092 · Enumerated 2015 · 10 years on NPI
Specified Solutions Surgical Associates, Inc. is 1 of 640 physician assistant organizations in Georgia.
NPI age
10 years
Enumerated 2015-09-23
Primary specialty
Physician Assistant
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Williams
Owner
Last NPPES update
2025-12-05
Source: monthly bulk 2026-05

How this organization compares

Across 640 active physician assistant providers in Georgia.

NPI age
10 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2015 → 2026

2015-09Enumerated in NPPES
2015 2026

Where they practice

Primary practice location
156 Foster Dr Ste A
McDonough, GA 302535346
📞 4049320295
Mailing address
207 Arabella Pkwy
Locust Grove, GA 302484250
📞 4049320295

Authorized official

Jerrod Laquinton Williams, CSA
Owner
📞 4049320295

Specialties

  • Physician Assistant Primary
    Definition to come...
    DC license #2610 taxonomy 363AS0400X

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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