Ibrahim Khairy Fayed Elshamly, SC-A

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

25341 Issued in GA

Practice address

103 Lexington PL
Sandy Springs, GA 30350-2017

Phone

(678) 267-0551

NPI assigned

Nov 6, 2025

Last updated

Aug 7, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Olympian Surgical Assistants

  • Surgical Physician Assistant
  • Marietta, GA
  • NPI 1366978991

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1762387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1619847662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 LEXINGTON PL",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303502017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 LEXINGTON PL",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303502017",
            "telephone_number": "678-267-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSHAMLY",
        "first_name": "IBRAHIM",
        "middle_name": "KHAIRY FAYED",
        "credential": "SC-A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-11-06",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "GA",
            "license": "25341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elite Health Solutions, LLC
• Lashaun Denise Elliott, M.D.
• Laura Ellis, MSN
• Ellison Act Group, LLC
• William Elmore, NP, DC
• Elysium Health and Wellness
• Emerald Integrative Therapy Services, LLC (Emerald Integrative Therapy Services)
• Empowerment Center for Greatness
• Endoscopy Laser Institute of Atlanta LLC
• Ennoble Hospice Ga LLC

• Surgical Assistant in Sandy Springs, GA
• Providers in Sandy Springs, GA by specialty
• Surgical Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.