Active NPI
Jesse Aaron Denson, CSA
- Surgical Assistant
- Marietta, GA
National Provider Identifier
1336748409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 5172
- Practice address
- 205 Zachary Woods PT NW
Marietta, GA 30064-1896 - Phone
- (404) 781-8599
- NPI assigned
- Oct 20, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 5172 | GA | Primary |
Addresses
Primary practice location
205 Zachary Woods PT NW
Marietta, GA 30064-1896
Mailing address
PO Box 81
Marietta, GA 30061-0081
Phone (404) 781-8599
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 |
|---|---|---|---|
| 5172 | GA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olympian Surgical Assistants | Surgical | Current | Accepting new patients |
Locations
55 Atlanta St SE
Ste 204
Marietta, GA 30060
Phone (678) 517-3428
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgical Physician Assistant
- Marietta, GA
- NPI 1366978991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777593600000",
"number": "1336748409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 81",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300610081",
"telephone_number": "404-781-8599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 ZACHARY WOODS PT NW",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300641896",
"telephone_number": "404-781-8599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENSON",
"first_name": "JESSE",
"middle_name": "AARON",
"credential": "CSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-20",
"last_updated": "2026-05-01",
"certification_date": "2026-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "GA",
"license": "5172",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.