Tie on a Passer Surgical First Assisting LLC

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

Legal business name

TIE ON A PASSER SURGICAL FIRST ASSISTING LLC

Practice address

1501 Jodeco Rd
Stockbridge, GA 30281-5103

Phone

(678) 437-8509

NPI assigned

Mar 25, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Trudy GrayNPI 1356210306

Title

Csfa

Phone

(678) 437-8509

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Trudy L Gray

  • Surgical Assistant
  • Stockbridge, GA
  • NPI 1356210306
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1774396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775347200000",
    "number": "1225977358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 JODECO RD",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815103",
            "telephone_number": "678-437-8509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 JODECO RD",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815103",
            "telephone_number": "678-437-8509"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 N Park Pl Ste 101",
            "address_purpose": "LOCATION",
            "city": "Stockbridge",
            "state": "GA",
            "postal_code": "302817237",
            "country_code": "US",
            "telephone_number": "770-892-0300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TIE ON A PASSER SURGICAL FIRST ASSISTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-25",
        "last_updated": "2026-04-05",
        "certification_date": "2026-04-05",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "TRUDY",
        "authorized_official_title_or_position": "CSFA",
        "authorized_official_telephone_number": "678-437-8509"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgical Assistant in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Surgical Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.

Verify at the official NPI Registry.