NPI age
10 years
Enumerated 2015-06-01
● Active Type 2 · Organization
Ortho Atlanta Surgery Center Of Fayetteville
Ortho Atlanta Surgery Center Of Fayetteville is 1 of 602 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Young
Administrator
Last NPPES update
2015-06-01
Source: monthly bulk 2026-05
How this organization compares
Across 602 active clinic/center providers in Georgia.
NPI age
10 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2015 → 2026
2015-06Enumerated in NPPES
2015
2026
Where they practice
Primary practice location
1265 Highway 54 W Ste 103
Fayetteville, GA 302144537
Mailing address
1265 Highway 54 W Ste 103
Fayetteville, GA 302144537
Authorized official
Brian Young
Administrator
📞 6786735108
Individual providers at this organization
4 individual providers on file at this primary practice address.
- Suzana Anic, MD Anesthesiology NPI 1215981840
- Angela Cubin, CSA Physician Assistant NPI 1073656732
- Eric Lin, MD Anesthesiology NPI 1437511706
- Spensor Rayetparvar, CSFA Physician Assistant NPI 1033915772
Specialties
-
Clinic/Center PrimaryDefinition to come...
Practice context
Multi-provider organization. 4 individual providers on file at this primary address.
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- 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.