Prologue Surgical Assisting, LLC
NPI 1407371768ActiveOrganization· Physician Assistant, Surgical· Canton, GA
Physician Assistant, Surgical in Canton, Georgia, registered in NPPES in August 2017. The authorized official on file is Terri Rybak, CSFA, Certified Surgical First Assistant.
Overview
| NPI | 1407371768 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 8, 2017 |
| Last updated in NPPES | Jul 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other surgical physician assistants in Canton
- 1316298953
- 1285601880
- 1760528434
- 1427297811
- 1740599182