Active NPI
Mergen Geldiyev, SA-C
- Surgical Assistant
- Fayetteville, GA
National Provider Identifier
1093643710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 0136000759
- Practice address
- 1255 Highway 54 W
Fayetteville, GA 30214-4526 - Phone
- (941) 441-7717
- NPI assigned
- May 12, 2026
- Last updated
- May 12, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 0136000759 | VA | Primary |
Addresses
Primary practice location
1255 Highway 54 W
Fayetteville, GA 30214-4526
Mailing address
4100 Gainesway LN
Aubrey, TX 76227-3350
Phone (941) 441-7717
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0136000759 | VA | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778544000000",
"number": "1093643710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4100 GAINESWAY LN",
"city": "AUBREY",
"state": "TX",
"postal_code": "762273350",
"telephone_number": "941-441-7717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1255 HIGHWAY 54 W",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302144526",
"telephone_number": "941-441-7717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GELDIYEV",
"first_name": "MERGEN",
"credential": "SA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-05-12",
"last_updated": "2026-05-12",
"certification_date": "2026-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "VA",
"license": "0136000759",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, GA
- Jackline Wanga Gates
- David Durand Gaucher, D.C.
- Nigel Gauntlett
- Ashley Lynn Gavin, REGISTERED NURSE
- Gclab LLC (Detect & Protect)
- Natalie Generally, LPMT, MT-BC, M.M.ED
- Genesis Eldercare Rehabilitation Services Inc (Genesis Rehabilitation Services)
- Gentle Care Behavioral Health PLLC
- Gentle Touch Healthcare and Wellness LLC
- Gentlecove Health Care Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.