Eastside Surgical Assistants LLC
NPI 1962872218 · Surgical Assistant · Stone Mountain, GA
Eastside Surgical Assistants LLC is a Surgical Assistant organization in Stone Mountain, GA (NPI 1962872218).
Provider details
- NPI number
- 1962872218
- Entity type
- Organization
- Primary specialty
- Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
- Organization subpart
- No
- Authorized official
- Samuel Fenderson, Certified Surgical Assistant(678) 799-2498
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-09-30
- Last updated
- 2015-09-30
Frequently asked questions
- What is Eastside Surgical Assistants LLC's NPI number?
- Eastside Surgical Assistants LLC's National Provider Identifier (NPI) is 1962872218, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eastside Surgical Assistants LLC?
- Eastside Surgical Assistants LLC is classified in the NPPES registry as Surgical Assistant (Technologists, Technicians & Other Technical Service Providers).
- Where is Eastside Surgical Assistants LLC located?
- Eastside Surgical Assistants LLC's practice location on file with NPPES is 925 Main St, Stone Mountain, GA 30083-3098.
- What is Eastside Surgical Assistants LLC's phone number?
- The practice phone number listed in the NPPES registry for Eastside Surgical Assistants LLC is (678) 799-2498.
- Who is the authorized official for Eastside Surgical Assistants LLC?
- The authorized official listed on Eastside Surgical Assistants LLC's NPPES record is Samuel Fenderson, Certified Surgical Assistant. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eastside Surgical Assistants LLC's NPI active?
- Yes — Eastside Surgical Assistants LLC's NPI (1962872218) is active in the NPPES registry as of the last update on 2015-09-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.