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IRINA SIDORENKO
NPI 1740898279
Physician Assistant - Surgical in Grayson, GA

Active since July 21, 2020
2311 RIDGE FOREST DR, GRAYSON, GA 30017(678) 656-6819 Get Directions Write a Review

NPPES record last updated: November 19, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 19, 2021, Sep 17, 2020, Jul 21, 2020 (3 updates tracked since 2020).

About Irina Sidorenko NPPES

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

IRINA SIDORENKO (NPI 1740898279) is an individual surgical provider in Grayson, Georgia, licensed in Georgia (20-299) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1740898279
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameIRINA SIDORENKO
Location Address2311 RIDGE FOREST DRGrayson, GA 30017-1718
Mailing Address2311 Ridge Forest DrGrayson, GA 30017-1718 · (678) 656-6819
Phone(678) 656-6819
Sole ProprietorNo
Enumeration DateJuly 21, 2020
Last NPPES UpdateNovember 19, 20213 updates tracked since enumeration
NPPES CertifiedNovember 19, 2021
✔ NPI 1740898279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in GA · 20-299
Also ListedSurgeryTaxonomy 208600000X · License 20299 (GA)
2311 RIDGE FOREST DR, Grayson, GA 30017
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. NANCY LOUISE LUCAS RN, RNFA
Registered Nurse (Registered Nurse First Assistant)
2311 RIDGE FOREST DR
GRAYSON, GA 30017
Gwinnett County (678) 656-6819

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 Irina Sidorenko's NPI number?

The NPI number for Irina Sidorenko is 1740898279. It was assigned to this individual provider in the NPPES registry on July 21, 2020.

Where is Irina Sidorenko located?

Irina Sidorenko practices at 2311 Ridge Forest Dr, Grayson, GA 30017. The listed phone number is (678) 656-6819.

What is Irina Sidorenko's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Irina Sidorenko was last updated on November 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.