SGI SURGICAL LLC (NPI# 1972822062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972822062 |
| Entity Type | Organization |
| Organization Name | SGI SURGICAL LLC |
| Practice Address |
65 Mote Crossing Rd Covington GA 30016-5253 |
| Mailing Address |
Po Box 516 Porterdale GA 30070-0516 |
| Practice Telephone | 7703546940 |
| Practice Fax Number | 4046719110 |
| Mailing Telephone | 7703546940 |
| Mailing Fax Number | 4046719110 |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2010-05-27 |
| Authorized Official Name | STEPHANIE INGRAM (CSA) |
| Authorized Official Telephone | 7703546940 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
3135 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
65 MOTE CROSSING RD |
| City | COVINGTON |
| State | GA |
| Zip Code | 30016-5253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154595676 | Stephanie Ingram | Physician Assistant | 65 Mote Crossing Rd, Covington, GA 30016-5253 | 2008-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013565605 | Katrina Williams | Case Manager/Care Coordinator | 220 Meadowidge Dr, Covington, GA 30016 | 2019-08-28 |
| 1407322134 | Mali Rice | Registered Nurse | 105 Syracuse Lane, Covington, GA 30016 | 2018-10-20 |
| 1619452927 | Angelina Jones | Contractor | 290 Piedmont Circle, Covington, GA 30016 | 2018-10-02 |
| 1881116721 | Springhill Manor Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 600 Spring Hill Drive, Covington, GA 30016 | 2017-07-12 |
| 1922538529 | Tisha Owes | Home Health | 110 Trinity Dr, Covington, GA 30016 | 2017-06-15 |
| 1053868695 | Delhia Assanah IIi | Counselor | 101 Kirkland Road, Covington, GA 30016 | 2016-09-01 |
| 1760834295 | Resurgens East Surgery Center, LLC | Clinic/Center | 3241 Iris Dr, Suite 100, Covington, GA 30016 | 2016-07-08 |
| 1528443371 | Latoya N Wright | Counselor | 100 Winnstead Place, Covington, GA 30016 | 2015-07-22 |
| 1598157307 | Sierra Private Homecare, Inc. | Adult Companion | 75 Cinnamon Oak Circle, Covington, GA 30016 | 2015-03-03 |
| 1326391079 | Lana Abiola Fraser | Nurse's Aide | 840 Oakhill Road, Covington, GA 30016 | 2012-10-18 |
| Find all providers in zip 30016 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104423151 | Osler Surgical Services LLC | Physician Assistant | 929 Tezcucco Ct, Covington, LA 70433-8157 | 2020-10-02 |
| 1639704307 | Spectrum Surgical LLC | Physician Assistant | 3142 Highway 278 Nw # 135, Covington, GA 30014-2304 | 2020-03-03 |
| 1710291950 | Alisha N Turner | Physician Assistant | 115 Timberlake Ter, Covington, GA 30016-1352 | 2010-07-29 |
| 1154595676 | Stephanie Ingram | Physician Assistant | 65 Mote Crossing Rd, Covington, GA 30016-5253 | 2008-04-16 |
| 1134336258 | Christopher J Salsman | Physician Assistant | 429 Place Saint Michel, Covington, LA 70433-8136 | 2007-05-17 |
| 1811047020 | Anilkumar Ambalal Patel | Physician Assistant | 1075 Hwy 190 E Service Road, Suite 200, Covington, LA 70433 | 2007-01-11 |
| 1457715930 | Garrett Michael Simoneaux | Physician Assistant | 76 Starbrush Cir, Covington, LA 70433-7208 | 2016-04-11 |
| 1659677474 | Turner Surgical Services | Physician Assistant | 115 Timberlake Ter, Covington, GA 30016-1352 | 2011-01-27 |
| 1538462502 | Jessica L. Harvey | Physician Assistant | 1000 Ochsner Blvd, Covington, LA 70433-8107 | 2010-12-14 |
| 1871614586 | Richard Dale Springer | Physician Assistant | 1202 S Tyler St, St Tammy Parish Hospital, Covington, LA 70437 | 2007-04-02 |
| Find all providers in COVINGTON | ||||
Please comment or provide details below to improve the information on SGI SURGICAL LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.