P Praxis·MD
● Active Type 2 · Organization

Southern Surgical Assistants Llc

Nurse Practitioner·Cumming, GA· NPI 1417224650 · Enumerated 2011 · 14 years on NPI
Southern Surgical Assistants Llc is 1 of 3206 nurse practitioner organizations in Georgia.
NPI age
14 years
Enumerated 2011-11-16
Primary specialty
Nurse Practitioner
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Kanclerz
Ceo
Last NPPES update
2015-09-17
Source: monthly bulk 2026-05

How this organization compares

Across 3206 active nurse practitioner providers in Georgia.

NPI age
14 years
↑ 6 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2011 → 2026

2011-11Enumerated in NPPES
2011 2026

Where they practice

Primary practice location
1200 Northside Forsyth Dr
Cumming, GA 300417659
📞 7708443200
Mailing address
Po Box 7042
Chestnut Mountain, GA 305020042
📞 6785918344

Authorized official

Joseph Kanclerz, RNFA
Ceo
📞 6785918344

Individual providers at this organization

20 individual providers on file at this primary practice address.

Specialties

  • Nurse Practitioner Primary
    (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...
    GA license #RN177592 taxonomy 363L00000X

Practice context

Multi-provider organization. 20 individual providers 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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