NPI age
10 years
Enumerated 2015-09-30
● Active Type 2 · Organization
Eastside Surgical Assistants Llc
Eastside Surgical Assistants Llc is 1 of 399 specialist/technologist, other organizations in Georgia.
Primary specialty
Specialist/Technologist, Other
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Fenderson
Certified Surgical Assistant
Last NPPES update
2015-09-30
Source: monthly bulk 2026-05
How this organization compares
Across 399 active specialist/technologist, other providers in Georgia.
NPI age
10 years
↑ 4 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2015 → 2026
2015-09Enumerated in NPPES
2015
2026
Where they practice
Primary practice location
925 Main St, Suite 300-07
Stone Mountain, GA 300833098
Mailing address
925 Main St, Suite 300-07
Stone Mountain, GA 300833098
Authorized official
Samuel Fenderson
Certified Surgical Assistant
📞 6787992498
Specialties
-
Specialist/Technologist, Other PrimaryA 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,...
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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