STACY L POTTER
NPI 1033097597
Specialist/Technologist, Other - Surgical Assistant in Fayetteville, GA
NPI Status: Active since August 23, 2025
Contact Information
529 LESTER RD
FAYETTEVILLE, GA
ZIP 30215
Phone: (404) 425-3780
Fax: (404) 425-3780
- Individual
- Specialist/Technologist, Other
- Surgical Assistant
About STACY POTTER
This page provides the complete NPI Profile along with additional information for Stacy Potter, a provider established in Fayetteville, Georgia operating as a Specialist/technologist, Other, focusing in surgical assistant . The healthcare provider is registered in the NPI registry with number 1033097597 assigned on August 2025. The practitioner's primary taxonomy code is 246ZC0007X. The provider is registered as an individual and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization.
- NPI
- 1033097597
- Provider Name
- STACY L POTTER
- Gender
- Entity Type
- Individual
- Location Address
- 529 LESTER RD FAYETTEVILLE, GA 30215
- Location Phone
- (404) 425-3780
- Location Fax
- (404) 425-3780
- Mailing Address
- 1336 HIGHWAY 54 W FAYETTEVILLE, GA 30214
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-23-2025
- Last Update Date
- 08-23-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist/Technologist, Other Surgical Assistant
- Taxonomy Code
- 246ZC0007X
- Type
- Technologists, Technicians & Other Technical Service Providers
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1033097597, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 63 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033097597, enumerated as an "individual" on August 23, 2025.
The provider is located at 529 LESTER RD FAYETTEVILLE, GA 30215 and the phone number is (404) 425-3780.
Specialist/Technologist, Other with taxonomy code 246ZC0007X and a focus in Surgical Assistant.
