Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Physician Assistant Surgical Solutions

Organization Surgery Physician · NPI 1205440054

Physician Assistant Surgical Solutions is a Surgery Physician in Kennesaw, Georgia. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
3

Practice location Address checks out

4290 Bells Ferry Rd Ste 134 - 1032
Kennesaw, GA 30144
Phone: (770) 325-0836
Fax: (770) 670-4764
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X
Surgery Physician Taxonomy 208600000X
Surgical Assistant Taxonomy 246ZC0007X

Record details

NPI number1205440054
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lindsey Parks — Owner/Ceo · (770) 325-0836
NPI enumeratedAugust 31, 2020
Last updated in NPPESAugust 31, 2020
Certification dateAugust 31, 2020
Mailing address4290 Bells Ferry Road, Suite 134 - 1032, Kennesaw, GA 30144

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