NPI age
4 years
Enumerated 2021-10-05
● Active Type 2 · Organization
Icon Surgical
Icon Surgical is 1 of 640 physician assistant organizations in Georgia.
Primary specialty
Physician Assistant
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Clay
Administrator
Last NPPES update
2024-03-01
Source: monthly bulk 2026-05
How this organization compares
Across 640 active physician assistant providers in Georgia.
NPI age
4 years
↓ 9 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2021 → 2026
2021-10Enumerated in NPPES
2021
2026
Where they practice
Primary practice location
268 Saint Patrick Dr Sw
Mableton, GA 301261627
Mailing address
268 Saint Patrick Dr Sw
Mableton, GA 301261627
Authorized official
Pamela Clay
Administrator
📞 8882659908
Specialties
-
Physician Assistant PrimaryDefinition to come...
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Icon Surgical
-
Icon Surgical
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 →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.