NPI age
5 years
Enumerated 2020-07-02
● Active Type 2 · Organization
PA-C Surgical Assist, Llc
PA-C Surgical Assist, Llc is 1 of 602 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Gibbert
Owner
Last NPPES update
2020-07-02
Source: monthly bulk 2026-05
How this organization compares
Across 602 active clinic/center providers in Georgia.
NPI age
5 years
↓ 10 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2020 → 2026
2020-07Enumerated in NPPES
2020
2026
Where they practice
Primary practice location
520 W Ponce Leon Ave #1706
Decatur, GA 30030
Mailing address
Po Box 1706
Decatur, GA 300311706
Authorized official
Tiffany Gibbert, PA
Owner
📞 4049073292
Specialties
-
Clinic/Center PrimaryDefinition to come...
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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