SURGIVUE FIRST ASSISTING – Nurse Practitioner, NPI 1821472077

Nurse Practitioner

SURGIVUE FIRST ASSISTING is a healthcare provider. based in Jonesboro, Georgia. specializing in Nurse Practitioner. The organization holds a License No. RN183039 (GA). The NPI Number for SURGIVUE FIRST ASSISTING is 1821472077

Main info

Organization

Name

SURGIVUE FIRST ASSISTING

NPI

1821472077

Phone

(770) 985-4257

Address

5865 SINCLAIR WAY

Authorized Official

PAM PHILLIP CREDENTIALING MANAGER

Enumeration Date

17 July 2015

Last Update Date

17 July 2015

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience34

Completeness75

Years active:10State licenses:1Digital endpointsOther names

Provider Addresses for SURGIVUE FIRST ASSISTING

5865 SINCLAIR WAY
JONESBORO, GA 30238
Phone: (770) 985-4257
Fax: (770) 985-4258
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30238)

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Reviews

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Frequently asked questions

How is SURGIVUE FIRST ASSISTING identified in CMS data?

CMS-hosted NPPES data lists SURGIVUE FIRST ASSISTING with NPI 1821472077.

Is SURGIVUE FIRST ASSISTING still practicing?

SURGIVUE FIRST ASSISTING is currently listed as active in the public NPI registry.

What taxonomy line describes SURGIVUE FIRST ASSISTING?

For research purposes, treat SURGIVUE FIRST ASSISTING as Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.

Does SURGIVUE FIRST ASSISTING list a practice location?

Patients near Jonesboro, Georgia may find SURGIVUE FIRST ASSISTING in results; validate coverage separately.

Is specialty guaranteed by NPI alone?

Taxonomy selections describe intent; scope of practice still follows state law.