Organization Active NPI

Sdrassisting, LLC

  • Surgical Assistant
  • Fayetteville, GA
National Provider Identifier
1831996339
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
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

Updated by the provider on May 18, 2026

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

Authorized official

Name
Spensor RayetparvarNPI 1033915772
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)CodeLicenseStatePrimary
Surgical AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.