Organization Active NPI

Surgical Support Partners LLC

  • Surgical Physician Assistant
  • Carrollton, TX
National Provider Identifier
1285547703
Registry record updated Sep 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
SURGICAL SUPPORT PARTNERS LLC
Practice address
3330 Earhart Dr Ste 206
Carrollton, TX 75006-5041
Phone
(972) 991-9950
NPI assigned
Sep 25, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2026

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

Authorized official

Name
Debbie Forde
Title
Administator
Phone
(972) 991-9950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AS0400X Primary

Addresses

Primary practice location

3330 Earhart Dr Ste 206
Carrollton, TX 75006-5041

Mailing address

3330 Earhart Dr Ste 206
Carrollton, TX 75006-5041
Phone (972) 991-9950

NPI Registry JSON

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

{
    "created_epoch": "1790294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790294400000",
    "number": "1285547703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 EARHART DR STE 206",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750065041",
            "telephone_number": "972-991-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 EARHART DR STE 206",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750065041",
            "telephone_number": "972-991-9950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL SUPPORT PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-25",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A",
        "authorized_official_last_name": "FORDE",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "ADMINISTATOR",
        "authorized_official_telephone_number": "972-991-9950"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.