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NPI 1225977358
● Active Type 2 · Organization
Tie On A Passer Surgical First Assisting Llc
Specialist/Technologist, Other · Stockbridge, GA · NPI 1225977358
·
Enumerated 2026 · 0 years on NPI
Tie On A Passer Surgical First Assisting Llc is 1 of 399 specialist/technologist, other organizations in Georgia.
NPI age
— years
Enumerated 2026-03-25
Primary specialty
Specialist/Technologist, Other
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Gray
Csfa
Last NPPES update
2026-04-05
Source: monthly bulk 2026-05
How this organization compares
Across 399 active specialist/technologist, other providers in Georgia.
NPI age
0 years
↓ 6 yr below median
Practice locations
2
1 secondary on file
NPI lifetime · 2026 → 2026
2026-03 Enumerated in NPPES
2026
2026
Where they practice
Primary practice location
1501 Jodeco Rd
Stockbridge, GA 302815103
📞 6784378509
Mailing address
1501 Jodeco Rd
Stockbridge, GA 302815103
📞 6784378509
Additional practice locations
1 secondary location on file with NPPES.
Location 2
135 N Park Pl Ste 101
Stockbridge, GA 302817237
📞 7708920300
Authorized official
Trudy Gray
Csfa
📞 6784378509
Individual providers at this organization
1 individual provider on file at this primary practice address.
Trudy Gray
Specialist/Technologist, Other
NPI 1356210306
Specialties
Specialist/Technologist, Other
Primary
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,...
taxonomy 246ZC0007X
Practice context
Multi-provider organization.
1 individual provider on file at this primary address.
Plus 1 secondary practice location.
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.