1ST CALL SURGICAL SERVICES — NPI 1962779561 (Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Surgical in ROME, GA)

CMS-1500 Box 24J / 33a • NPI

1962779561

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

363AS0400X (CMS 97)

Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Surgical

Box 32 Service Location & ZIP+4

205 MYRTLE ST SW, ROME, GA, 30161-4445

✓ 9-Digit EDI 837 ZIP+4 (30161-4445)

Practice Phone & Referral Fax

(888) 265-9908

Fax: (888) 265-5564

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1962779561 (1ST CALL SURGICAL SERVICES) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1962779561` (NPI-2 Organization / Facility)
Provider / Legal Name	1ST CALL SURGICAL SERVICES
Plain-English Specialty	Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Surgical NUCC Code: `363AS0400X` (Physician Assistant, Surgical)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	205 MYRTLE ST SW, ROME, GA, 30161-4445
Practice Telephone / Fax	Tel: (888) 265-9908 \| Fax: (888) 265-5564
Administrative Mailing Address	PO BOX 492, REDAN, GA, 30074-0492
Enumeration & Last Sync	Enumerated: 2011-11-27 \| CMS Record Updated: 2011-11-27
Authorized Official	RALPH DUMAS (Owner, President)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

205 MYRTLE ST SW, ROME, GA, 30161-4445

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Plain-English Taxonomy & CMS Crosswalk (363AS0400X)

What Does Taxonomy Code 363AS0400X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363AS0400X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Surgical"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 97 (Physician Assistant)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Physician Assistant, Surgical for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (1ST CALL SURGICAL SERVICES)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`363AS0400X` — Physician Assistant, Surgical Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Surgical	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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1ST CALL SURGICAL SERVICES (NPI #1962779561)