NPI age
18 years
Enumerated 2007-11-15
● Active Type 2 · Organization
Southern Surgical Associates, Pc
Southern Surgical Associates, Pc is 1 of 1389 surgery organizations in Georgia.
Primary specialty
Surgery
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Jensen
President
Last NPPES update
2016-05-03
Source: monthly bulk 2026-05
How this organization compares
Across 1389 active surgery providers in Georgia.
NPI age
18 years
≈ at median (17 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-11Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
743 Old Norcross Rd
Lawrenceville, GA 300464317
Mailing address
743 Old Norcross Rd
Lawrenceville, GA 300464317
Authorized official
Kevin L Jensen, M.D.
President
📞 7705131763
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Kevin Jensen, M.D. Surgery NPI 1497855779
Specialties
-
Surgery PrimaryA general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | GRP2433 | MEDICARE GROUP NUMBER |
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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