1. Home
  2. Directory
  3. Georgia
  4. Hiram
  5. Specialist Technologist Other
  6. NPI Profile

MISS STEPHANIE MARIE BULLOCK CSA
NPI 1871049510
Specialist/Technologist, Other - Surgical Assistant in Hiram, GA

Active since September 01, 2016PECOS Enrolled
277 COVINGTON DR, HIRAM, GA 30141(757) 287-8914(844) 550-4221 Get Directions Write a Review

NPPES record last updated: December 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 18, 2025, Dec 11, 2025, Jul 2, 2025 and 3 more (6 updates tracked since 2016).

About Miss Stephanie Marie Bullock Csa NPPES

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

MISS STEPHANIE MARIE BULLOCK CSA (NPI 1871049510) is an individual surgical assistant in Hiram, Georgia and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Hiram, and is a graduate of Eastern Virginia Medical School (2016).

NPPES Registry Identity

NPI1871049510
Entity TypeIndividualFemale
Primary Taxonomy246ZC0007X
Provider Legal NameMISS STEPHANIE MARIE BULLOCKCredential: CSA
Location Address277 COVINGTON DRHiram, GA 30141-2257
Mailing Address277 Covington DrHiram, GA 30141-2257 · (757) 287-8914 · Fax (844) 550-4221
Phone(757) 287-8914
Fax(844) 550-4221
Sole ProprietorNo
Medical School CMSEastern Virginia Medical SchoolGraduated 2016
Enumeration DateSeptember 1, 2016
Last NPPES UpdateDecember 18, 20256 updates tracked since enumeration
NPPES CertifiedDecember 18, 2025
✔ NPI 1871049510 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.
277 COVINGTON DR, Hiram, GA 30141
Open in Google Maps ↗

Other Names 1

Former Name (1)Stephanie Marie Vega Csa

Secondary Practice Location 1

Location 13595 Hiram Douglasville Hwy Ste 238Hiram, GA 30141-4965 · Phone (757) 287-8914 · Fax (844) 550-4221

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Stephanie Marie Bullock Csa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4486161742
PECOS Enrollment IDI20250730002365
Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

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

TRINITY SURGICAL LLC
Specialist/Technologist, Other (Surgical Assistant)
277 COVINGTON DR
HIRAM, GA 30141
Paulding County (757) 287-8914

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 Stephanie Bullock's NPI number?

The NPI number for Stephanie Bullock is 1871049510. It was assigned to this individual provider in the NPPES registry on September 1, 2016. The provider is also known as Stephanie Marie Vega Csa.

Where is Stephanie Bullock located?

Stephanie Bullock practices at 277 Covington Dr, Hiram, GA 30141. The listed phone number is (757) 287-8914.

What is Stephanie Bullock's specialty?

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

Is Stephanie Bullock enrolled in Medicare?

Yes. Stephanie Bullock is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stephanie Bullock was last updated on December 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.