P Praxis·MD
● Active Type 2 · Organization

Prologue Surgical Assisting, Llc

Physician Assistant·Canton, GA· NPI 1407371768 · Enumerated 2017 · 8 years on NPI
Prologue Surgical Assisting, Llc is 1 of 640 physician assistant organizations in Georgia.
NPI age
8 years
Enumerated 2017-08-08
Primary specialty
Physician Assistant
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Rybak
Certified Surgical First Assistant
Last NPPES update
2022-07-21
Source: monthly bulk 2026-05

How this organization compares

Across 640 active physician assistant providers in Georgia.

NPI age
8 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2017 → 2026

2017-08Enumerated in NPPES
2017 2026

Where they practice

Primary practice location
3493 Lower Burris Rd
Canton, GA 30114
📞 7703314217
Mailing address
3493 Lower Burris Rd
Canton, GA 301144755
📞 7703314217

Authorized official

Terri Rybak, CSFA
Certified Surgical First Assistant
📞 7703314217

Individual providers at this organization

1 individual provider on file at this primary practice address.

  • Terri Rybak, CST/CSFA Physician Assistant NPI 1740599182

Specialties

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

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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