360 SURGICAL LLC NPI 1265392567

NPI Information

  • NPI: 1265392567
  • Provider Name: 360 SURGICAL, LLC
  • Classification: Specialist/Technologist, Other - 246ZC0007X
  • Specialization: Surgical Assistant
  • Entity Type: Organization
  • Address: 175 COUNTRY CLUB DR STE 300E
    STOCKBRIDGE, GA
    ZIP 30281
  • Phone: (813) 842-5956

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NPI Details

360 SURGICAL, LLC is a surgical assistant specialist technologist other in Stockbridge, GA. The provider is a surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. 360 SURGICAL, LLC NPI is 1265392567. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

175 COUNTRY CLUB DR STE 300E
STOCKBRIDGE, GA
ZIP 30281-054
Phone: (813) 842-5956
Fax: (678) 941-4139

The provider's authorized official is Bhavik Shah .
The authorized official title is Director and has the following contact phone number (813) 842-5956.

The enumeration date for this NPI number is 11/18/2025 and was last updated on 11/18/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1246ZC0007XSpecialist/Technologist, OtherSurgical AssistantYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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