OrganizationActive
Ak Surgical Assistants
NPI 1417452616 · Surgical Assistant · Grayson, GA
Provider details
- NPI number
- 1417452616
- Entity type
- Organization
- Primary specialty
- Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
- Organization subpart
- No
- Authorized official
- Andrea Kennedy, Ceo(678) 656-6819
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
- Surgical Physician Assistant363AS0400X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
2023 Grayson Hwy Ste 201
Grayson, GA 30017-5047
Phone: (678) 656-6819
Fax: (678) 985-4855
Street-level locationGet directions
Mailing address
2023 Grayson Hwy Ste 201
Grayson, GA 30017-5047
Registry dates
- Enumerated
- 2018-03-28
- Last updated
- 2023-02-01
- Certified
- 2023-01-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.