Southern Surgical Assistants, LLC
NPI 1063687267 · Nurse Practitioner · Braselton, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southern Surgical Assistants, LLC is a Nurse Practitioner organization in Braselton, GA (NPI 1063687267).
Provider details
- NPI number
- 1063687267
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Joseph Kanclerz, Owner(678) 591-8644
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-04-28
- Last updated
- 2018-11-28
Frequently asked questions
- What is Southern Surgical Assistants, LLC's NPI number?
- Southern Surgical Assistants, LLC's National Provider Identifier (NPI) is 1063687267, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Surgical Assistants, LLC?
- Southern Surgical Assistants, LLC is classified in the NPPES registry as Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Southern Surgical Assistants, LLC located?
- Southern Surgical Assistants, LLC's practice location on file with NPPES is 5742 Allee Way, Braselton, GA 30517.
- What is Southern Surgical Assistants, LLC's phone number?
- The practice phone number listed in the NPPES registry for Southern Surgical Assistants, LLC is (678) 591-8344.
- Does Southern Surgical Assistants, LLC accept Medicare?
- Southern Surgical Assistants, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Southern Surgical Assistants, LLC?
- The authorized official listed on Southern Surgical Assistants, LLC's NPPES record is Joseph Kanclerz, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Surgical Assistants, LLC's NPI active?
- Yes — Southern Surgical Assistants, LLC's NPI (1063687267) is active in the NPPES registry as of the last update on 2018-11-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.