EASTSIDE SURGICAL ASSISTANTS LLC
NPI 1962872218
Specialist/Technologist, Other - Surgical Assistant in Stone Mountain, GA

Q: What is Eastside Surgical Assistants LLC's NPI number?

The NPI number for Eastside Surgical Assistants LLC is 1962872218. It was assigned to this organization in the NPPES registry on September 30, 2015.

Q: What is Eastside Surgical Assistants LLC's specialty?

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

Active since September 30, 2015

925 MAIN ST, SUITE 300-07, STONE MOUNTAIN, GA 30083(678) 799-2498 Get Directions Write a Review

NPPES record last updated: September 30, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Eastside Surgical Assistants Llc NPPES

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

EASTSIDE SURGICAL ASSISTANTS LLC (NPI 1962872218) is a healthcare organization registered as a surgical assistant in Stone Mountain, Georgia and active in the NPI registry since September 2015. The organization lists Samuel Fenderson, Certified Surgical Assistant, as its authorized official.

NPPES Registry Identity

NPI1962872218

Entity TypeOrganization

Primary Taxonomy246ZC0007X

Legal Business NameEASTSIDE SURGICAL ASSISTANTS LLC

Location Address925 MAIN ST, SUITE 300-07Stone Mountain, GA 30083-3098

Mailing Address925 Main St, Suite 300-07Stone Mountain, GA 30083-3098 · (678) 799-2498

Phone(678) 799-2498

Organization SubpartNo

Authorized OfficialSamuel FendersonCertified Surgical Assistant · (678) 799-2498

Enumeration DateSeptember 30, 2015

✔ NPI 1962872218 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.

925 MAIN ST, Stone Mountain, GA 30083

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

PRN SITTERS, LLC

Home Health

925 MAIN ST, SUITE 300-21
STONE MOUNTAIN, GA 30083

Dekalb County (770) 885-7485

GEORGIA YOUTH NETWORK INC

Community/Behavioral Health

925 MAIN ST, SUITE 104
STONE MOUNTAIN, GA 30083

Dekalb County (770) 344-8704

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 Eastside Surgical Assistants LLC's NPI number?

The NPI number for Eastside Surgical Assistants LLC is 1962872218. It was assigned to this organization in the NPPES registry on September 30, 2015.

Where is Eastside Surgical Assistants LLC located?

Eastside Surgical Assistants LLC is located at 925 Main St Suite 300-07, Stone Mountain, GA 30083. The listed phone number is (678) 799-2498.

What is Eastside Surgical Assistants LLC'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 Eastside Surgical Assistants LLC was last updated on September 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.