NORTHEAST GEORGIA PLASTIC SURGERY ASSOCIATES, PLASTIC SURGERY CENTER (NPI# 1023039385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023039385 |
| Entity Type | Organization |
| Organization Name | NORTHEAST GEORGIA PLASTIC SURGERY ASSOCIATES, PLASTIC SURGERY CENTER |
| Practice Address |
1296 Sims St Suite B Gainesville GA 30501-3850 |
| Practice Telephone | 7705341856 |
| Practice Fax Number | 7705310355 |
| Mailing Telephone | 7705341856 |
| Mailing Fax Number | 7705310355 |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SAMUEL W. RICHWINE JR. (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7705341856 |
| Authorized Official Credential | M. D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
069-037 | GA | Ambulatory Health Care Facilities |
| Street Address |
1296 SIMS ST SUITE B |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30501-3850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275765893 | Gail Whonic | Physical Therapist | 1296 Sims St, Suite A, Gainesville, GA 30501-3873 | 2009-08-15 |
| 1306028238 | Northeast Georgia Plastic Surgery | Plastic Surgery | 1296 Sims St, Suite B, Gainesville, GA 30501-3850 | 2007-12-03 |
| 1588851885 | Reginald Darren Hilchie | Physical Therapist | 1296 Sims St, Suite A, Gainesville, GA 30501-3850 | 2007-10-01 |
| 1649308156 | Gainesville Physical Therapy LLC | Physical Therapist | 1296 Sims St, Suite A, Gainesville, GA 30501-3850 | 2007-02-28 |
| 1144358698 | Jeffrey Francis Skorput | Physical Therapist | 1296 Sims St, Suite A, Gainesville, GA 30501-3850 | 2007-02-28 |
| 1316075815 | Kristen Elizabeth Basinger | Physical Therapist | 1296 Sims St, Suite A, Gainesville, GA 30501-3850 | 2007-02-28 |
| 1194853655 | Vicki L Sims | Physical Therapist | 1296 Sims St, Suite A, Gainesville, GA 30501-3850 | 2007-02-28 |
| 1194853689 | Joanne Elizabeth Hamilton | Physical Therapist | 1296 Sims St, Suite A, Gainesville, GA 30501-3850 | 2007-02-28 |
| 1629180229 | Katherine S. Allen | Physician Assistant | 1296 Sims St, Suite B, Gainesville, GA 30501-3850 | 2006-08-31 |
| 1689783870 | Kenneth Glen Walton | Plastic Surgery | 1296 Sims St, Suite B, Gainesville, GA 30501-3850 | 2006-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782851 | Madison Raye Huth | Physician Assistant | 743 Spring Street Se, Gainesville, GA 30501 | 2020-02-13 |
| 1205487659 | Grace M Walker Brown | Nurse Practitioner | 592 Medical Park Dr., Suite A, Gainesville, GA 30501 | 2019-09-26 |
| 1174086987 | Nayab Ahmed | Student in an Organized Health Care Education/Training Program | 743 Spring Street, Suite 710, Gainesville, GA 30501 | 2019-04-09 |
| 1154881118 | Ryan D Berry | Student in an Organized Health Care Education/Training Program | 734 Spring St Se Ste 710, Gainesville, GA 30501 | 2019-03-24 |
| 1609336304 | Harper E Niver | Student in an Organized Health Care Education/Training Program | 743 Spring St., Suite 710, Gainesville, GA 30501 | 2019-03-20 |
| 1508336173 | Bradee Burrell Aderholt | Nurse Practitioner | 663 Lanier Park Drive, Gainesville, GA 30501 | 2018-11-27 |
| 1578068359 | Soammy Liz Matias | Chiropractor | 961 Green Street, Gainesville, GA 30501 | 2018-03-26 |
| 1811496896 | Matthew Brown | Speech-Language Pathologist | 500 Spring St. Se Suite 101, Gainesville, GA 30501 | 2018-02-06 |
| 1346769825 | Dr. Skeete & Associates of North Georgia, P.C. | Optometrist | 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 | 2017-09-15 |
| 1932624723 | M & B Imaging, PC | Radiology | 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 | 2017-08-14 |
| Find all providers in zip 30501 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447491139 | William Albert Cates Greene Jr. | Clinic/Center | 2320 Limestone Pkwy, Gainesville, GA 30501-2087 | 2009-03-10 |
| 1093842270 | North Georgia Eye Surgery Center | Clinic/Center | 1485 Jesse Jewell Parkway, Suite 100, Gainesville, GA 30501 | 2007-02-27 |
| 1457425159 | Lakeshore Tubal Reversal Center | Clinic/Center | 2320 Limestone Parkway, Gainesville, GA 30501 | 2006-11-17 |
| 1831116698 | Laser and Outpatient Surgery Center LLC | Clinic/Center | 6925 Nw 11th Pl, Gainesville, FL 32605-3101 | 2006-07-17 |
| 1215993100 | Gainesville Surg Ctr Lp | Clinic/Center | 1945 Beverly Rd, Gainesville, GA 30501-2034 | 2006-04-21 |
| 1790752061 | North Florida Regional Freestanding Surgery Center Lp | Clinic/Center | 6705 Nw 10th Pl, Gainesville, FL 32605-4212 | 2006-03-04 |
| 1083689749 | Gainesville Fl Orthopaedic Asc LLC | Clinic/Center | 4600 W Newberry Rd, Gainesville, FL 32607-2247 | 2006-02-17 |
| 1982186425 | Center for Spine & Pain Medicine PC | Clinic/Center | 715 Queen City Pkwy Ste 106, Gainesville, GA 30501-4335 | 2018-08-31 |
| 1326494147 | Center for Spine & Pain Medicine PC | Clinic/Center | 1016 Thompson Bridge Rd, Gainesville, GA 30501-1704 | 2016-05-11 |
| 1891184826 | Surgical Center of North Florida, LLC | Clinic/Center | 6520 Nw 9th Blvd, Gainesville, FL 32605-4205 | 2015-01-14 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 30501 |
Please comment or provide details below to improve the information on NORTHEAST GEORGIA PLASTIC SURGERY ASSOCIATES, PLASTIC SURGERY CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.