IndividualActive
Mattie Farmer Clark, CST/CSFA
NPI 1891263299 · Surgical Assistant · Fayetteville, GA
Provider details
- NPI number
- 1891263299
- Entity type
- Individual
- Primary specialty
- Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
- Credential
- CST/CSFA
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
83% 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
Piedmont Fayette Hospital
1255 Highway 54 West
Fayetteville, GA 30214
Phone: (770) 719-7000
Approximate (ZIP-level) locationGet directions
Mailing address
91 Covington Ter
Newnan, GA 30263-5771
Registry dates
- Enumerated
- 2018-11-05
- Last updated
- 2018-11-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.