NORTHSIDE PLASTIC SURGERY OF ATLANTA, LLC (NPI# 1538537923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538537923 |
| Entity Type | Organization |
| Organization Name | NORTHSIDE PLASTIC SURGERY OF ATLANTA, LLC |
| Practice Address |
1357 Hembree Rd Suite 200 Roswell GA 30076-5722 |
| Practice Telephone | 7704753146 |
| Mailing Telephone | 7704753146 |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2015-09-02 |
| Authorized Official Name | KSHITIJ V MAJMUNDAR (OWNER) |
| Authorized Official Telephone | 7704753146 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
1357 HEMBREE RD SUITE 200 |
| City | ROSWELL |
| State | GA |
| Zip Code | 30076-5722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568467611 | John Leihugh Moseley | Urology | 1357 Hembree Rd, Suite 250, Roswell, GA 30076 | 2005-06-16 |
| 1902273709 | Vascular Institute of Atlanta, LLC | Surgery | 1357 Hembree Rd, Suite 240, Roswell, GA 30076-5722 | 2015-08-27 |
| 1699112953 | Steven Clint Manley | Physician Assistant | 1357 Hembree Rd, Suite 250, Roswell, GA 30076-5722 | 2013-05-28 |
| 1396039020 | Lauren Hall Randall | Internal Medicine | 1357 Hembree Rd, Suite 150, Roswell, GA 30076-5722 | 2011-05-27 |
| 1790075117 | Dr. Brian K. Howard P.C. | Plastic Surgery | 1357 Hembree Rd, Suite 200, Roswell, GA 30076-5722 | 2011-04-19 |
| 1487951364 | The Sleep Specialty Center of Ga, LLC | Specialist | 1357 Hembree Rd, Suite 120, Roswell, GA 30076-5722 | 2011-02-11 |
| 1164733697 | Thomas Randall Humphrey | Physician Assistant | 1357 Hembree Rd, Suite 250, Roswell, GA 30076-5722 | 2010-06-30 |
| 1386870731 | Adamantios Michael Mellis | Urology | 1357 Hembree Rd, Ste 250, Roswell, GA 30076-5722 | 2009-05-29 |
| 1134315641 | North Atlanta Heart Group | Internal Medicine | 1357 Hembree Rd, 150, Roswell, GA 30076-5722 | 2007-09-18 |
| 1144358508 | Margaret Sharp | Nurse Practitioner | 1357 Hembree Rd, 150, Roswell, GA 30076-5722 | 2007-02-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275505 | Apex Spine and Neurosurgery LLC | Neurological Surgery | 1295 Hembree Rd Ste 200 Bldg B, Roswell, GA 30076 | 2020-11-06 |
| 1841776689 | Scott Gunter Brunson | Hearing Instrument Specialist | 777 Old Roswell Pl # E100, Roswell, GA 30076 | 2018-07-16 |
| 1861998197 | Daniel B Charek | Clinical Neuropsychologist | 11685 Alpharetta Hwy Ste 170, Roswell, GA 30076 | 2018-04-04 |
| 1427575554 | A One Home Care, Inc. | In Home Supportive Care | 1875 Old Alabama Road, Suite 420, Roswell, GA 30076 | 2017-08-29 |
| 1053836023 | Madelon Morgan | Counselor | 555 Sun Valley Dr Bldg F, Roswell, GA 30076 | 2017-08-10 |
| 1245769637 | Family Behavioral Health, LLC | Clinic/Center | 9275 Martin Rd, Roswell, GA 30076 | 2017-06-08 |
| 1093163750 | Ryann Soutar | Counselor | 702 Macy Dr, Roswell, GA 30076 | 2016-06-02 |
| 1447618707 | Concierge Medical Mgmt Group | Contractor | 760 Old Roswell Rd Ste 117, Roswell, GA 30076 | 2016-02-02 |
| 1063877710 | Augustine Young | Community/Behavioral Health | 427 Royal Creek Dr, Roswell, GA 30076 | 2015-12-23 |
| 1710360441 | Currents Massage LLC | Massage Therapist | 760 Old Roswell Road, Suite 230, Roswell, GA 30076 | 2015-06-30 |
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| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467442590 | Brian Keith Howard | Plastic Surgery | 1295 Hembree Rd, Bldg. B, Suite 200, Roswell, GA 30076-5721 | 2005-10-28 |
| 1790075117 | Dr. Brian K. Howard P.C. | Plastic Surgery | 1357 Hembree Rd, Suite 200, Roswell, GA 30076-5722 | 2011-04-19 |
| 1740245950 | Northside Plastic Surgery | Plastic Surgery | 1265 Upper Hembree Rd, Ste 100, Roswell, GA 30076-1143 | 2006-04-19 |
| 1407817554 | Miles H. Graivier | Plastic Surgery | 1295 Hembree Rd, Suite 100b, Roswell, GA 30076-5721 | 2006-03-29 |
| 1457350316 | Maher Talaat Hassan | Plastic Surgery | 1265 Upper Hembree Rd, Suite 100, Roswell, GA 30076-1143 | 2005-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639706328 | Nij, LLC | Plastic Surgery | 3280 Howell Mill Rd Nw Ste 200, Atlanta, GA 30327-4100 | 2020-03-24 |
| 1629623558 | Dipsy Parikh | Plastic Surgery | 3150 Roswell Rd Ne Ste B1, Atlanta, GA 30305-2572 | 2019-08-07 |
| 1194284299 | Pooler Plastic Surgery LLC | Plastic Surgery | 1000 Towne Center Blvd Ste 506, Pooler, GA 31322-4068 | 2019-03-18 |
| 1821564352 | Southern Surgical Group LLC | Plastic Surgery | 1266 W Paces Ferry Rd Nw Ste 231, Atlanta, GA 30327-2306 | 2018-10-23 |
| 1336655612 | Mary G George | Plastic Surgery | 130 Ridley Ln, Decatur, GA 30030-2909 | 2017-12-21 |
| 1265941413 | Sentinel Plastic Surgery LLC | Plastic Surgery | 123 Weaver Rd Ste B, Blairsville, GA 30512-3155 | 2017-09-20 |
| 1083133763 | Hurteau Plastic Surgery, P.C. | Plastic Surgery | 1000 Hawthorne Ave Ste N, Athens, GA 30606-2168 | 2017-09-14 |
| 1487179586 | Most Plastic & Reconstructive Surgery PC | Plastic Surgery | 114 Canal St Ste 102, Pooler, GA 31322-4153 | 2017-08-09 |
| 1942737911 | Brian Stenberg | Plastic Surgery | 1117 Perimeter Ctr Ste 502, Atlanta, GA 30338-5451 | 2017-05-21 |
| 1669927075 | Breast Body Beauty LLC | Plastic Surgery | 2550 Windy Hill Rd Se Ste 312, Marietta, GA 30067-8655 | 2016-08-16 |
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| 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.