Southern Surgical Assistants LLC
NPI 1417224650ActiveOrganization· Nurse Practitioner· Cumming, GA
Nurse Practitioner in Cumming, Georgia, registered in NPPES in November 2011. The authorized official on file is Joseph Kanclerz, RNFA, Ceo.
Overview
| NPI | 1417224650 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 16, 2011 |
| Last updated in NPPES | Sep 17, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | RN177592 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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 |
|---|
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