Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pa-C Surgical Assist, LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1801413174

Pa-C Surgical Assist, LLC is an Ambulatory Surgical Clinic/Center in Decatur, Georgia. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

520 W Ponce Leon Ave #1706
Decatur, GA 30030
Phone: (404) 907-3292
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X

Record details

NPI number1801413174
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tiffany Gibbert — Owner · (404) 907-3292
NPI enumeratedJuly 2, 2020
Last updated in NPPESJuly 2, 2020
Certification dateJuly 2, 2020
Mailing addressPo Box 1706, Decatur, GA 30031-1706

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