Jeremy Surry, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-22-240968 Issued in GA

Practice address

115 N Park TRL Ste 123
Stockbridge, GA 30281-7373

Phone

(470) 491-2050

NPI assigned

Feb 28, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1677542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1346949328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 N PARK TRL STE 123",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817373",
            "telephone_number": "470-491-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N PARK TRL STE 123",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817373",
            "telephone_number": "470-491-2050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2083 Newnan Crossing Blvd E",
            "address_purpose": "LOCATION",
            "city": "Newnan",
            "state": "GA",
            "postal_code": "302652606",
            "country_code": "US",
            "telephone_number": "470-241-1408",
            "fax_number": "317-520-8200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SURRY",
        "first_name": "JEREMY",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-28",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "GA",
            "license": "RBT-22-240968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summit Surgery Center of Stockbridge LLC
• Sunflower Counseling Center
• Surgery South PC
• Surgical Center for Urology LLC
• Catrina Surrency
• M. Avigail Susson, P.T.
• Sasha E Sutcavage, AU.D.
• Sutton Orthopaedics & Sports Medicine PC
• Sutton Orthopaedics & Sports Medicine, P.C.
• Joseph Carl Sutton III, M.D.

• Behavior Technician in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Behavior Technician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; 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.