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

Southern Surgical Assistants LLC

Organization Nurse Practitioner · NPI 1417224650

Southern Surgical Assistants LLC is a Nurse Practitioner in Cumming, Georgia. Licensed in Georgia. Registered with an NPI since 2011.

Licensed in
GA
In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1200 Northside Forsyth Dr
Cumming, GA 30041-7659
Phone: (770) 844-3200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN177592 (GA)

Record details

NPI number1417224650
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joseph Kanclerz — Ceo · (678) 591-8344
NPI enumeratedNovember 16, 2011
Last updated in NPPESSeptember 17, 2015
Mailing addressPo Box 7042, Chestnut Mountain, GA 30502-0042

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