MRS. MATTIE MAE FARMER CLARK CST/CSFA
NPI 1891263299
Specialist/Technologist, Other - Surgical Assistant in Fayetteville, GA

Active since November 05, 2018
PIEDMONT FAYETTE HOSPITAL, 1255 HIGHWAY 54 WEST, FAYETTEVILLE, GA 30214(770) 719-7000 Get Directions Write a Review

NPPES record last updated: November 5, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Mattie Mae Farmer Clark Cst/csfa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MATTIE MAE FARMER CLARK CST/CSFA (NPI 1891263299) is an individual surgical assistant in Fayetteville, Georgia and active in the NPI registry since November 2018.

NPPES Registry Identity

NPI1891263299
Entity TypeIndividualFemale
Primary Taxonomy246ZC0007X
Provider Legal NameMRS. MATTIE MAE FARMER CLARKCredential: CST/CSFA
Location AddressPIEDMONT FAYETTE HOSPITAL, 1255 HIGHWAY 54 WESTFayetteville, GA 30214
Mailing Address91 Covington TerNewnan, GA 30263-5771 · (386) 295-3122
Sole ProprietorYes
Enumeration DateNovember 5, 2018
NPI 1891263299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialist/Technologist, Other · Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246ZC0007X
Definition
A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.
PIEDMONT FAYETTE HOSPITAL, Fayetteville, GA 30214

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mattie Farmer Clark's NPI number?

The NPI number for Mattie Farmer Clark is 1891263299. It was assigned to this individual provider in the NPPES registry on November 5, 2018.

Where is Mattie Farmer Clark located?

Mattie Farmer Clark practices at Piedmont Fayette Hospital 1255 Highway 54 West, Fayetteville, GA 30214. The listed phone number is (770) 719-7000.

What is Mattie Farmer Clark's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

When was this NPI record last updated?

The NPPES record for Mattie Farmer Clark was last updated on November 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.