Organization Active NPI

Surgical Assist Solutions LLC

  • Surgical Physician Assistant
  • Panama City Beach, FL
National Provider Identifier
1093389819
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
SURGICAL ASSIST SOLUTIONS LLC
Practice address
325 Turtle CV
Panama City Beach, FL 32413-8441
Phone
(901) 486-9414
NPI assigned
May 17, 2021
Last updated
Feb 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kami L Hatley, CSFA, CSTNPI 1801461892
Title
President
Phone
(901) 486-9414

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AS0400X Primary

Addresses

Primary practice location

325 Turtle CV
Panama City Beach, FL 32413-8441

Mailing address

19211 Panama City Beach Pkwy #1030
Panama City Beach, FL 32413-8712
Phone (901) 486-9414

Other practice location 1

36468 Emerald Coast Pkwy Ste 1101
Destin, FL 32541-3723
Phone (850) 290-2154

Other practice location 2

7800 US Highway 98 W
Miramar Beach, FL 32550-7228
Phone (901) 486-9414

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1621209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643673600000",
    "number": "1093389819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19211 PANAMA CITY BEACH PKWY #1030",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324138712",
            "telephone_number": "901-486-9414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 TURTLE CV",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324138441",
            "telephone_number": "901-486-9414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36468 Emerald Coast Pkwy Ste 1101",
            "address_purpose": "LOCATION",
            "city": "Destin",
            "state": "FL",
            "postal_code": "325413723",
            "country_code": "US",
            "telephone_number": "850-290-2154",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7800 US Highway 98 W",
            "address_purpose": "LOCATION",
            "city": "Miramar Beach",
            "state": "FL",
            "postal_code": "325507228",
            "country_code": "US",
            "telephone_number": "901-486-9414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SURGICAL ASSIST SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-17",
        "last_updated": "2022-02-01",
        "certification_date": "2021-11-14",
        "status": "A",
        "authorized_official_last_name": "HATLEY",
        "authorized_official_first_name": "KAMI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-486-9414",
        "authorized_official_credential": "CSFA, CST"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.