OrganizationActive
Surgical First Assist, LLC
NPI 1447506514 · Surgical Technologist · Herenando, MS
Provider details
- NPI number
- 1447506514
- Entity type
- Organization
- Primary specialty
- Surgical TechnologistTechnologists, Technicians & Other Technical Service Providers
- Organization subpart
- No
- Authorized official
- William Clark, Certified Surgical Assistant / Owne(901) 590-5968
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
8921 Black Panther Cove
Herenando, MS 38632
Phone: (901) 590-5968
Street-level locationGet directions
Mailing address
8921 Black Panther Cove
Herenando, MS 38632
Registry dates
- Enumerated
- 2012-07-26
- Last updated
- 2012-07-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.