Active NPI
Destin Chailie Sutton
- Surgical Assistant
- Cartersville, GA
National Provider Identifier
1740112002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 100266498
- Practice address
- 1350 Hardin Bridge Rd SW
Cartersville, GA 30120-5914 - Phone
- (678) 994-2312
- NPI assigned
- Jun 1, 2026
- Sex
- Female
- Sole proprietor
- No
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 | 100266498 | GA | Primary |
Addresses
Primary practice location
1350 Hardin Bridge Rd SW
Cartersville, GA 30120-5914
Mailing address
1350 Hardin Bridge Rd SW
Cartersville, GA 30120-5914
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 |
|---|---|---|---|
| 100266498 | GA | MD | Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allara Surgical Group | Surgical Assistant | Current | Accepting new patients |
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 Assistant
- Cartersville, GA
- NPI 1629904586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781827200000",
"number": "1740112002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1350 HARDIN BRIDGE RD SW",
"city": "CARTERSVILLE",
"state": "GA",
"postal_code": "301205914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 HARDIN BRIDGE RD SW",
"city": "CARTERSVILLE",
"state": "GA",
"postal_code": "301205914",
"telephone_number": "678-994-2312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTTON",
"first_name": "DESTIN",
"middle_name": "CHAILIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-06-01",
"last_updated": "2026-06-19",
"certification_date": "2026-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "GA",
"license": "100266498",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cartersville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.