Icon Surgical
NPI 1255003455 · Surgical Physician Assistant · Mableton, GA
Icon Surgical is a Surgical Physician Assistant organization in Mableton, GA (NPI 1255003455).
Provider details
- NPI number
- 1255003455
- Entity type
- Organization
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Pamela Clay, Administrator(888) 265-9908
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Icon Surgical
- Doing business as
- Icon Surgical
Registry dates
- Enumerated
- 2021-10-05
- Last updated
- 2024-03-01
- Certified
- 2024-03-01
Frequently asked questions
- What is Icon Surgical's NPI number?
- Icon Surgical's National Provider Identifier (NPI) is 1255003455, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Icon Surgical?
- Icon Surgical is classified in the NPPES registry as Surgical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Icon Surgical located?
- Icon Surgical's practice location on file with NPPES is 268 Saint Patrick Dr Sw, Mableton, GA 30126-1627.
- What is Icon Surgical's phone number?
- The practice phone number listed in the NPPES registry for Icon Surgical is (678) 825-5397.
- Who is the authorized official for Icon Surgical?
- The authorized official listed on Icon Surgical's NPPES record is Pamela Clay, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Icon Surgical's NPI active?
- Yes — Icon Surgical's NPI (1255003455) is active in the NPPES registry as of the last update on 2024-03-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.