Tanzanite Surgical Assistants, L.L.C.

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

Legal business name

TANZANITE SURGICAL ASSISTANTS, L.L.C.

Practice address

840 Ernest W Barrett Pkwy NW Unit 440204
Kennesaw, GA 30160-0101

Phone

(501) 765-8527

NPI assigned

Aug 13, 2025

Last updated

Aug 13, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ariel V Gilmore, SANPI 1790662153

Title

Ceo

Phone

(501) 765-8527

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ariel V Gilmore, SA

  • Surgical Assistant
  • Marietta, GA
  • NPI 1790662153
  NPD Authorized official

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

{
    "created_epoch": "1755043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755043200000",
    "number": "1689550717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 ERNEST W BARRETT PKWY NW UNIT 440204",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301600101",
            "telephone_number": "501-765-8527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 ERNEST W BARRETT PKWY NW UNIT 440204",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301600101",
            "telephone_number": "501-765-8527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANZANITE SURGICAL ASSISTANTS, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-13",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A",
        "authorized_official_last_name": "GILMORE",
        "authorized_official_first_name": "ARIEL",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "501-765-8527",
        "authorized_official_credential": "SA"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adeyemi O Takon, PHARMD
• Daisy Tambe Jean-Pierre, CRNA
• Shuen Hwee Rowena Tan, M.ED., CCC-SLP
• Dahvy Tang
• Hubert Pierce Tankersley III
• Tapestry Healthcare LLC (Tapestry Hospice)
• Valerie Tapper
• Target Corporation
• Tasman Eye Consultants PC
• Amber Taylor

• Surgical Assistant in Kennesaw, GA
• Providers in Kennesaw, 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 13, 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.