NPI age
5 years
Enumerated 2020-07-21
● Active
Type 1 · Individual
Irina Sidorenko
Sidorenko is 1 of 1 physician assistant providers in Grayson and 1 of 640 in Georgia.
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-11-19
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 640 active physician assistant providers in Georgia.
NPI age
5 years
↓ 8 yr below median (13 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
1
In the 37% of peers with subspecialties
NPI lifetime · 2020 → 2026
2020-07Enumerated in NPPES
2020
2026
Where they practice
Practice location
2311 Ridge Forest Dr
Grayson, GA 300171718
Mailing address
2311 Ridge Forest Dr
Grayson, GA 300171718
Specialties
-
Physician Assistant PrimaryDefinition to come...
-
SurgeryA general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.