P Praxis·MD
● Active Type 2 · Organization

Surgivue First Assisting

Nurse Practitioner·Jonesboro, GA· NPI 1821472077 · Enumerated 2015 · 10 years on NPI
Surgivue First Assisting is 1 of 3206 nurse practitioner organizations in Georgia.
NPI age
10 years
Enumerated 2015-07-17
Primary specialty
Nurse Practitioner
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Phillip
Credentialing Manager
Last NPPES update
2015-07-17
Source: monthly bulk 2026-05

How this organization compares

Across 3206 active nurse practitioner providers in Georgia.

NPI age
10 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2015 → 2026

2015-07Enumerated in NPPES
2015 2026

Where they practice

Primary practice location
5865 Sinclair Way
Jonesboro, GA 30238
📞 7709854257fax 7709854258
Mailing address
5865 Sinclair Way
Jonesboro, GA 30238
📞 7709854257fax 7709854258

Authorized official

Pam Phillip
Credentialing Manager
📞 7709854257

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 #RN183039 taxonomy 363L00000X

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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