GEORGIA PLASTIC SURGERY & RECONSTRUCTIVE CARE, PC (NPI# 1902219058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902219058 |
| Entity Type | Organization |
| Organization Name | GEORGIA PLASTIC SURGERY & RECONSTRUCTIVE CARE, PC |
| Practice Address |
2151-b W Spring St Suite 240 Monroe GA 30655-3115 |
| Mailing Address |
2151b West Spring Street Suite 240 Monroe GA 30655 |
| Practice Telephone | 6786350330 |
| Practice Fax Number | 7706021296 |
| Mailing Telephone | 6786350330 |
| Mailing Fax Number | 7706021296 |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2015-06-08 |
| NPI Deactivation Date | 05/27/2015 |
| NPI Reactivation Date | 2015-06-04 |
| Authorized Official Name | PIOTR P SKOWRONSKI (PRESIDENT) |
| Authorized Official Telephone | 6786350330 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 065617 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
2151-B W SPRING ST SUITE 240 |
| City | MONROE |
| State | GA |
| Zip Code | 30655-3115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558968149 | Coresa Hawanis Thomas | Counselor | Advantage Behavioral Health, 384 State Hwy 11 Sw, Walton, GA 30655 | 2020-10-06 |
| 1821629049 | Daniel A Hodges | Dentist | 1190 West Spring St, Suite A, Monroe, GA 30655 | 2020-01-27 |
| 1669019071 | Daniel Bradley Hodges | Dentist | 1190 W. Spring St, Monroe, GA 30655 | 2019-12-04 |
| 1861962730 | Danny Shoemake | Counselor | 2080 Highway 78 Nw, Monroe, GA 30655 | 2018-12-04 |
| 1205329687 | Advantage Behavioral Health Systems | Clinic/Center | 638 Michael Cir., Monroe, GA 30655 | 2018-06-11 |
| 1144722455 | Catherine Williams | Behavioral Analyst | 109 Blaine Street, Monroe, GA 30655 | 2018-03-02 |
| 1588186811 | Francette Dubuche Bernard | Nurse Practitioner | 398 Highway 11, Sw, Monroe, GA 30655 | 2017-07-07 |
| 1437699006 | Amanda Kaye Green | Nurse Practitioner | 517 Great Oaks Drive Suite 103, Monroe, GA 30655 | 2017-03-02 |
| 1639528524 | Matthew Bradford Allgood | Physical Therapist | 2120 W Spring St Ste 1500, Monroe, GA 30655 | 2016-06-10 |
| 1477939221 | Healthy Home Transitions | Social Worker | 506 S Broad Street, Monroe, GA 30655 | 2015-08-04 |
| Find all providers in zip 30655 | ||||
| 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 |
|---|---|---|---|---|
| 1033550611 | Eugene Frederick Worthen | Plastic Surgery | 3504 Forsythe Ave, Monroe, LA 71201-2120 | 2013-07-11 |
| 1255505111 | Christopher B Kelly Md PC | Plastic Surgery | 1066 N Monroe St, Monroe, MI 48162-3113 | 2008-04-22 |
| 1124198171 | Timothy J Mickel | Plastic Surgery | 903 N 2nd St, Monroe, LA 71201-5837 | 2006-11-08 |
| 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.