GRANT CARLSON (NPI# 1689698649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689698649 |
| Entity Type | Individual |
| Full Name | GRANT CARLSON |
| Credential | MD |
| Practice Address |
1327 Clifton Rd Ne Atlanta GA 30322-1013 |
| Practice Telephone | 4047783307 |
| Mailing Telephone | 4047783307 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2019-02-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 025122 | GA | Allopathic & Osteopathic Physicians |
| N | 2086X0206X |
Surgery Specialization: Surgical Oncology |
025122 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | RAILROAD MEDICARE | 020020048 | 01 |
| GA | US HEALTHCARE | 515148 | 01 |
| GA | UNITED HEALTHCARE | 1241805 | 01 |
| GA | 000462866A | 05 | |
| GA | BCBS | 497338 | 01 |
| GA | PHCS | Y 19930601 | 01 |
| Street Address |
1327 CLIFTON RD NE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30322-1013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083634067 | William Wood | Surgery | 1327 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700445830 | Justin Gill | Student in an Organized Health Care Education/Training Program | 1365 Clifton Rd Ne, Clinic B - Suite B6100, Atlanta, GA 30322 | 2019-06-12 |
| 1891354510 | Gwendolyn Gisiner Gunn | Genetic Counselor, MS | Emory Genetics Clinic, 1365 Clifton Road Ne, Atlanta, GA 30322 | 2019-06-06 |
| 1144710567 | Lisa Cathy-ann Akosa | Registered Nurse | 1365 Cifton Road Ne, Atlanta, GA 30322 | 2018-05-10 |
| 1083118004 | Jessica Milian Keilson | Student in an Organized Health Care Education/Training Program | 1364 Clifton Road Ne, Suite H100, Emory University Hospital Office of Surgical Education, Atlanta, GA 30322 | 2018-03-23 |
| 1568982684 | Jennifer Bilko | Dietitian, Registered | 1365 Clifton Rd., Bldg A, 1st Floor, Suite 1450, Atlanta, GA 30322 | 2017-06-20 |
| 1134652258 | Kassahun Bilcha | Student in an Organized Health Care Education/Training Program | 1525 Clifton Rd Ne Ste 100, Atlanta, GA 30322 | 2017-04-05 |
| 1356872246 | Tova Rogers | Dermatology | 1525 Clifton Road Suite 105, Atlanta, GA 30322 | 2017-03-23 |
| 1194271445 | Dina Amin | Dentist | 1365 Clifton,building B, Oral and Maxillofacial Surgery, Suite 2300, Atlanta, GA 30322 | 2016-08-28 |
| 1427404904 | Rita Kaur Kuwahara | Student in an Organized Health Care Education/Training Program | 100 Woodruff Circle, Suite 327, Atlanta, GA 30322 | 2016-05-13 |
| 1891176251 | Octav Cristea | Transplant Surgery | 1365 Clifton Road Northeast, Building B, 6th Floor, Atlanta, GA 30322 | 2015-06-11 |
| Find all providers in zip 30322 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1821564352 | Southern Surgical Group LLC | Plastic Surgery | 1266 W Paces Ferry Rd Nw Ste 231, Atlanta, GA 30327-2306 | 2018-10-23 |
| 1942737911 | Brian Stenberg | Plastic Surgery | 1117 Perimeter Ctr Ste 502, Atlanta, GA 30338-5451 | 2017-05-21 |
| 1558716225 | Jonathan Nguyen | Plastic Surgery | 550 Peachtree Street, Se, 8th Floor, Suite 4300, Atlanta, GA 30308 | 2016-04-29 |
| 1265844617 | Stephanie Elysse Farber | Plastic Surgery | 5673 Peachtree Dunwoody Rd Ste 420, Atlanta, GA 30342-1774 | 2014-05-20 |
| 1124461447 | Andrew L. Weinstein | Plastic Surgery | 3200 Downwood Cir Nw Ste 640, Atlanta, GA 30327-1624 | 2013-04-17 |
| 1356685895 | Sanjeev Kaila | Plastic Surgery | 444 Highland Ave Ne, Suite Number G 100, Atlanta, GA 30312 | 2012-11-21 |
| 1922319755 | Victor Chien | Plastic Surgery | 550 Peachtree Street Northwest, Suite 9000, Atlanta, GA 30308 | 2010-06-26 |
| 1922338938 | Faramarz Movagharnia | Plastic Surgery | 200 Galleria Pkwy Se Ste 590, Atlanta, GA 30339-5964 | 2010-01-14 |
| Find all providers in ATLANTA | ||||
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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.