P Praxis·MD
● Active Type 2 · Organization

Northeast Georgia Surgical Assisting

Physician Assistant·Jefferson, GA· NPI 1306310099 · Enumerated 2019 · 7 years on NPI
Northeast Georgia Surgical Assisting is 1 of 640 physician assistant organizations in Georgia.
NPI age
7 years
Enumerated 2019-01-15
Primary specialty
Physician Assistant
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Gallagher
Owner, Independent Csfa
Last NPPES update
2019-01-15
Source: monthly bulk 2026-05

How this organization compares

Across 640 active physician assistant providers in Georgia.

NPI age
7 years
↓ 6 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2019 → 2026

2019-01Enumerated in NPPES
2019 2026

Where they practice

Primary practice location
780 Hawkins Creek Dr
Jefferson, GA 305495416
📞 7068701395
Mailing address
780 Hawkins Creek Dr
Jefferson, GA 305495416
📞 7068701395

Authorized official

Renah Gallagher, CSFA
Owner, Independent Csfa
📞 7068701395

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Physician Assistant Primary
    Definition to come...
    taxonomy 363AS0400X

Identifiers

TypeValueNotes
01 (GA) 186361 CSFA CERTIFICATION NUMBER

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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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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