Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Eastside Surgical Assistants LLC

Organization Surgical Assistant · NPI 1962872218

Eastside Surgical Assistants LLC provides Surgical Assistant services in Stone Mountain, Georgia. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

925 Main St Ste 300-07
Stone Mountain, GA 30083-3098 Not confirmed with CMS for 11 years — call before visiting
Phone: (678) 799-2498
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X

Record details

NPI number1962872218
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Fenderson — Certified Surgical Assistant · (678) 799-2498
NPI enumeratedSeptember 30, 2015
Last updated in NPPESSeptember 30, 2015
Mailing address925 Main St, Suite 300-07, Stone Mountain, GA 30083-3098

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