NPI age
10 years
Enumerated 2015-11-03
● Active Type 2 · Organization
Southeast First Assistant Llc
Southeast First Assistant Llc is 1 of 97 physician assistant organizations in Idaho.
Primary specialty
Physician Assistant
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Johnson
Owner
Last NPPES update
2015-11-03
Source: monthly bulk 2026-05
How this organization compares
Across 97 active physician assistant providers in Idaho.
NPI age
10 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 56% of peers with subspecialties
NPI lifetime · 2015 → 2026
2015-11Enumerated in NPPES
2015
2026
Where they practice
Primary practice location
12473 E Nunn Rd
Athol, ID 838019311
Mailing address
12473 E Nunn Rd
Athol, ID 838019311
Authorized official
Drew Johnson, PAC
Owner
📞 2082156411
Specialties
-
Physician Assistant PrimaryDefinition to come...
-
Physician AssistantA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | PA-1167 | IDAHO LICENSE |
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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