Pa-C Surgical Assist, LLC
NPI 1801413174 · Ambulatory Surgical Clinic/Center · Decatur, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pa-C Surgical Assist, LLC is a Ambulatory Surgical Clinic/Center organization in Decatur, GA (NPI 1801413174).
Provider details
- NPI number
- 1801413174
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tiffany Gibbert, Owner(404) 907-3292
Specialties & taxonomies
Ambulatory Health Care Facilities
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
Registry dates
- Enumerated
- 2020-07-02
- Last updated
- 2020-07-02
- Certified
- 2020-07-02
Frequently asked questions
- What is Pa-C Surgical Assist, LLC's NPI number?
- Pa-C Surgical Assist, LLC's National Provider Identifier (NPI) is 1801413174, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pa-C Surgical Assist, LLC?
- Pa-C Surgical Assist, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Pa-C Surgical Assist, LLC located?
- Pa-C Surgical Assist, LLC's practice location on file with NPPES is 520 W Ponce Leon Ave #1706, Decatur, GA 30030.
- What is Pa-C Surgical Assist, LLC's phone number?
- The practice phone number listed in the NPPES registry for Pa-C Surgical Assist, LLC is (404) 907-3292.
- Does Pa-C Surgical Assist, LLC accept Medicare?
- Pa-C Surgical Assist, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pa-C Surgical Assist, LLC?
- The authorized official listed on Pa-C Surgical Assist, LLC's NPPES record is Tiffany Gibbert, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pa-C Surgical Assist, LLC's NPI active?
- Yes — Pa-C Surgical Assist, LLC's NPI (1801413174) is active in the NPPES registry as of the last update on 2020-07-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.