Active NPI
Sdrassisting, LLC
- Surgical Assistant
- Fayetteville, GA
National Provider Identifier
1831996339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- Legal business name
- SDRASSISTING, LLC
- Practice address
- 1265 Highway 54 W Ste 103
Fayetteville, GA 30214-4537 - Phone
- (404) 683-7123
- Fax
- (470) 514-5561
- NPI assigned
- Mar 3, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Spensor Rayetparvar
- Title
- Csfa
- Phone
- (404) 683-7123
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | Primary |
Addresses
Primary practice location
1265 Highway 54 W Ste 103
Fayetteville, GA 30214-4537
Mailing address
2640 Suncrest Dr
Buford, GA 30519-5184
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgical Assistant
- Fayetteville, GA
- NPI 1033915772
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740960000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779062400000",
"number": "1831996339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2640 SUNCREST DR",
"city": "BUFORD",
"state": "GA",
"postal_code": "305195184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1265 HIGHWAY 54 W STE 103",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302144537",
"telephone_number": "404-683-7123",
"fax_number": "470-514-5561"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SDRASSISTING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-03",
"last_updated": "2026-05-18",
"certification_date": "2026-05-18",
"status": "A",
"authorized_official_last_name": "RAYETPARVAR",
"authorized_official_first_name": "SPENSOR",
"authorized_official_title_or_position": "CSFA",
"authorized_official_telephone_number": "404-683-7123"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.