OrganizationActive
Palm Beach First Assist, LLC
NPI 1053647982 · Surgical Physician Assistant · Melbourne, FL
Provider details
- NPI number
- 1053647982
- Entity type
- Organization
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Jeffrey Gray, Cfo & Treasurer(615) 345-5550
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1600 Sarno Road
Suite 15
Melbourne, FL 32935
Phone: (800) 348-4565
Fax: (321) 610-5115
Street-level locationGet directions
Mailing address
3 Maryland Farms Ste 200
Brentwood, TN 37027-5780
Other names (DBA / former)
- Other name
- Palm Beach First Assist LLC
- Other name
- Palm Beach First Assist LLC
Registry dates
- Enumerated
- 2009-10-28
- Last updated
- 2018-12-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.