STACY L POTTER
NPI 1033097597
Specialist/Technologist, Other - Surgical Assistant in Fayetteville, GA

Q: What is Stacy Potter's NPI number?

The NPI number for Stacy Potter is 1033097597. It was assigned to this individual provider in the NPPES registry on August 23, 2025.

Q: What is Stacy Potter's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

Q: When was this NPI record last updated?

The NPPES record for Stacy Potter was last updated on August 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 23, 2025

529 LESTER RD, FAYETTEVILLE, GA 30215(404) 425-3780(404) 425-3780 Get Directions Write a Review

NPPES record last updated: August 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Stacy L Potter NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACY L POTTER (NPI 1033097597) is an individual surgical assistant in Fayetteville, Georgia and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1033097597

Entity TypeIndividual

Primary Taxonomy246ZC0007X

Provider Legal NameSTACY L POTTER

Location Address529 LESTER RDFayetteville, GA 30215-5248

Mailing Address1336 Highway 54 WFayetteville, GA 30214-4573

Phone(404) 425-3780

Fax(404) 425-3780

Sole ProprietorYes

Enumeration DateAugust 23, 2025

NPPES CertifiedAugust 23, 2025

✔ NPI 1033097597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Other · Surgical AssistantTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code246ZC0007X

Definition

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.

529 LESTER RD, Fayetteville, GA 30215

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacy Potter's NPI number?

The NPI number for Stacy Potter is 1033097597. It was assigned to this individual provider in the NPPES registry on August 23, 2025.

Where is Stacy Potter located?

Stacy Potter practices at 529 Lester Rd, Fayetteville, GA 30215. The listed phone number is (404) 425-3780.

What is Stacy Potter's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

When was this NPI record last updated?

The NPPES record for Stacy Potter was last updated on August 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.