NEWTON ROCKDALE SURGICAL SPECIALISTS – NPI #1962558460
Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

NEWTON ROCKDALE SURGICAL SPECIALISTS is a surgeon located in CONYERS, GA. NPPES has assigned the NPI number 1962558460 to NEWTON ROCKDALE SURGICAL SPECIALISTS on January 26, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery

The NPI profile was last updated on Sep 11, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NEWTON ROCKDALE SURGICAL SPECIALISTS below.

NPI Profile for
NEWTON ROCKDALE SURGICAL SPECIALISTS

NPI Number
1962558460
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NEWTON ROCKDALE SURGICAL SPECIALISTS
Primary location
1372 WELLBROOK CIR NE
CONYERS, GA 30012-3872
Phone: (770) 922-4024 Fax: (770) 922-8143
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
GEORGE ISSHAK
CEO
Phone: (770) 922-4024
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0129X
- Surgery / Vascular Surgery (Primary)
208600000X
- Surgery

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.