P Praxis·MD
● Active Type 2 · Organization

Profound Surgical Assistants, Llc

Specialist/Technologist, Other·College Park, GA· NPI 1871128975 · Enumerated 2020 · 6 years on NPI
Profound Surgical Assistants, Llc is 1 of 399 specialist/technologist, other organizations in Georgia.
NPI age
6 years
Enumerated 2020-03-09
Primary specialty
Specialist/Technologist, Other
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Williams
Owner
Last NPPES update
2022-08-27
Source: monthly bulk 2026-05

How this organization compares

Across 399 active specialist/technologist, other providers in Georgia.

NPI age
6 years
≈ at median (6 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2020 → 2026

2020-03Enumerated in NPPES
2020 2026

Where they practice

Primary practice location
5401 Sand Bar Ln
College Park, GA 303493063
📞 2142272457fax 2147640880
Mailing address
5401 Sand Bar Ln
College Park, GA 303493063
📞 7709400185

Authorized official

Uton Williams, CSA
Owner
📞 7709400185

Individual providers at this organization

1 individual provider on file at this primary practice address.

  • Uton Williams, CSA Specialist/Technologist, Other NPI 1518467224

Specialties

  • Specialist/Technologist, Other Primary
    A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting,...
    taxonomy 246ZC0007X

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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