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

Mr. Michael Gregory Lassiter, SURGICALASSISTANT

Individual provider Surgical Physician Assistant · NPI 1396953873

Mr. Michael Gregory Lassiter, SURGICALASSISTANT is a Surgical Physician Assistant in Atlanta, Georgia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2007
Specialties on file
2

Practice location Address checks out

3577 Chamblee Tucker Rd # 161A
Atlanta, GA 30341-4422
Phone: (404) 432-8746
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 2795 (VA)
Surgical Assistant Taxonomy 246ZC0007X · Licence 2795 (VA)

Record details

NPI number1396953873
Entity typeIndividual (Type 1)
GenderMale
Credentials SURGICALASSISTANT
Sole proprietorYes
NPI enumeratedMay 18, 2007
Last updated in NPPESNovember 13, 2013

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