Healthcare Provider Details

I. General information

NPI: 1083330120
Provider Name (Legal Business Name): METRO ATLANTA FIRST ASSIST, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2022
Last Update Date: 02/19/2025
Certification Date: 02/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

440 GRAND OAK LN
DAHLONEGA GA
30533-6793
US

IV. Provider business mailing address

1221 FOXCROFT LN
CUMMING GA
30041-8659
US

V. Phone/Fax

Practice location:
  • Phone: 770-241-1357
  • Fax:
Mailing address:
  • Phone: 770-241-1357
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL LEWIS
Title or Position: PHYSICIAN ASSISTANT / FIRST ASSIST
Credential: PA-C
Phone: 770-241-1357