Southern Surgical Assistants, LLC
NPI 1063687267ActiveOrganization· Nurse Practitioner· Braselton, GA
Nurse Practitioner in Braselton, Georgia, registered in NPPES in April 2008. The authorized official on file is Joseph Henry Kanclerz, ARNP, RNFA, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1063687267 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 28, 2008 |
| Last updated in NPPES | Nov 28, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (GA) |
|---|
Other nurse practitioners in Braselton
- 1811224850
- 1447504741
- 1710789201
- 1164697355
- 1407377237
- 1689207060
- 1871503987