MEREDITH MOORE SA
NPI 1912892316
Specialist/Technologist, Other - Surgical Assistant in Nettleton, MS

Active since June 09, 2025
114 ROGERS DR, NETTLETON, MS 38858(662) 614-4803 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Meredith Moore Sa NPPES

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

MEREDITH MOORE SA (NPI 1912892316) is an individual surgical assistant in Nettleton, Mississippi, licensed in Virginia (0136001058) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1912892316
Entity TypeIndividualFemale
Primary Taxonomy246ZC0007X
Provider Legal NameMEREDITH MOORECredential: SA
Location Address114 ROGERS DRNettleton, MS 38858-6014
Mailing Address114 Rogers DrNettleton, MS 38858-6014 · (662) 614-4803
Sole ProprietorNo
Enumeration DateJune 9, 2025
NPPES CertifiedJune 9, 2025
NPI 1912892316 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
License Licensed in VA · 0136001058
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.
114 ROGERS DR, Nettleton, MS 38858

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 Meredith Moore's NPI number?

The NPI number for Meredith Moore is 1912892316. It was assigned to this individual provider in the NPPES registry on June 9, 2025.

Where is Meredith Moore located?

Meredith Moore practices at 114 Rogers Dr, Nettleton, MS 38858. The listed phone number is (662) 614-4803.

What is Meredith Moore'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 Meredith Moore was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.