SOUTHERN CRESCENT PLASTIC SURGERY ASC (NPI# 1942353115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942353115 |
| Entity Type | Organization |
| Organization Name | SOUTHERN CRESCENT PLASTIC SURGERY ASC |
| Practice Address |
919 Eagles Landing Pkwy Stockbridge GA 30281-5011 |
| Practice Telephone | 7703890446 |
| Practice Fax Number | 7703893530 |
| Mailing Telephone | 7703890446 |
| Mailing Fax Number | 7703893530 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2012-02-17 |
| Authorized Official Name | ALICE GROSS (ADMINISTRATOR) |
| Authorized Official Telephone | 7703890446 |
| Authorized Official Credential | NURSE RNFA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
035432 | GA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00762572A | 05 |
| Street Address |
919 EAGLES LANDING PKWY |
| City | STOCKBRIDGE |
| State | GA |
| Zip Code | 30281-5011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841573458 | Southern Crescent Plastic Surgery, PC | Surgery | 919 Eagles Landing Pkwy, Stockbridge, GA 30281-5011 | 2011-09-21 |
| 1548428519 | Sabrina Wyllie-adams | Family Medicine | 919 Eagles Landing Pkwy, Stockbridge, GA 30281 | 2008-05-27 |
| 1023228665 | Alice Gross | Registered Nurse | 919 Eagles Landing Pkwy, Stockbridge, GA 30281 | 2007-05-23 |
| 1205972262 | Lawrence R. Gross | Specialist | 919 Eagles Landing Pkwy, Stockbridge, GA 30281-5011 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164039095 | Colette Alls | Social Worker | 447 Lakeshore Dr, Stockbridge, GA 30281 | 2020-09-24 |
| 1982216800 | Pediatric and Family Behavioral Health of Georgia | Counselor | 1004 Ulster Court, Stockbridge, GA 30281 | 2020-08-21 |
| 1518577659 | Qunique Taveka Toxey | Behavior Technician | 115 N Park Trail, Suite 123, Stockbridge, GA 30281 | 2020-08-04 |
| 1497377675 | Melanie Harvey | Pharmacist | 4467 North Henry Boulevard, Stockbridge, GA 30281 | 2020-05-11 |
| 1114550571 | Cecile Maria Dunkley Layne | Counselor | 255 Corporte Drive, Stockbridge, GA 30281 | 2020-02-13 |
| 1306407143 | Palliative Care of Georgia. LLC | Home Health | 275 Corporate Center Court Ste C, Stockbridge, GA 30281 | 2019-06-24 |
| 1154883791 | Aaliyah Nura Fardan-alexander | Nurse's Aide | 105 Singletree, Stockbridge, GA 30281 | 2019-04-02 |
| 1306306261 | Prosthetic Care, Inc. | Prosthetic/Orthotic Supplier | 150 County Club Drive, Suite 200, Stockbridge, GA 30281 | 2019-03-25 |
| 1356814172 | Kristina Louissaint | Nurse Practitioner | 650 Country Club Dr, Stockbridge, GA 30281 | 2019-01-03 |
| 1942789284 | Cameren Barnes | Physical Therapist | 5473 N Henry Blvd, Stockbridge, GA 30281 | 2018-08-08 |
| Find all providers in zip 30281 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952885543 | Regenerative Orthopaedics Surgery Center, LLC | Clinic/Center | 135 N Park Pl Ste 100, Stockbridge, GA 30281-7209 | 2018-09-19 |
| 1528480076 | South Atlanta Ambulatory Surgical Center, LLC | Clinic/Center | 830 Eagles Landing Pkwy, Stockbridge, GA 30281-7366 | 2014-01-16 |
| 1215204128 | Minimally Invasive Neurospine and Pain Institute, P.C. | Clinic/Center | 900 Eagles Landing Pkwy, Stockbridge, GA 30281-7343 | 2011-11-20 |
| 1801110275 | Ga Pain Management Center, LLC | Clinic/Center | 165 N Park Trl, Suite 100, Stockbridge, GA 30281-6500 | 2010-03-15 |
| 1407095359 | Pain Care Center of Georgia LLC | Clinic/Center | 1365 Rock Quarry Rd, Suite 301, Stockbridge, GA 30281-5029 | 2009-02-17 |
| 1477651610 | Surgical Center for Urology LLC | Clinic/Center | 290 Country Club Dr, Suite 240, Stockbridge, GA 30281-9069 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598372963 | Alliance Surgery Center At Peachtree City LLC | Clinic/Center | 1975 Highway 54 W Ste 105, Peachtree City, GA 30269-4794 | 2020-09-29 |
| 1518579903 | Amin Surgery Center for Women LLC | Clinic/Center | 1150b Kirkland Ln, Douglas, GA 31533-2044 | 2020-08-18 |
| 1801413174 | Pa-c Surgical Assist, LLC | Clinic/Center | 520 W Ponce Leon Ave #1706, Decatur, GA 30030 | 2020-07-02 |
| 1720602683 | Georgia Eye Surgery LLC | Clinic/Center | 1620 Prince Ave Ste B, Athens, GA 30606-6008 | 2020-06-05 |
| 1750905618 | Rsps Fayetteville Asc Lllp | Clinic/Center | 874 Lanier Ave W Ste 270, Fayetteville, GA 30214-7617 | 2020-06-05 |
| 1699395541 | Medici Surgical Center Gwinnett, LLC | Clinic/Center | 2220 Wisteria Dr Ste 100, Snellville, GA 30078-4604 | 2020-04-21 |
| 1114552338 | Georgia Interventional Pain - G, LLC | Clinic/Center | 1504 N Thornton Ave Ste 104, Dalton, GA 30720-8394 | 2020-03-09 |
| 1700424322 | Georgia Interventional Pain - F, LLC | Clinic/Center | 1357 Hembree Rd Ste 230, Roswell, GA 30076-5725 | 2019-12-13 |
| 1699328369 | Georgia Urology, Pa | Clinic/Center | 1670 Scott Blvd Ste 204k, Decatur, GA 30033-5645 | 2019-07-22 |
| 1912563941 | Commerce Ambulatory Surgery Center, Inc. | Clinic/Center | 417 Pottery Factory Dr, Commerce, GA 30529-6682 | 2019-05-15 |
| Find all providers with the same taxonomy | ||||
| City | STOCKBRIDGE |
| Zip Code | 30281 |
Please comment or provide details below to improve the information on SOUTHERN CRESCENT PLASTIC SURGERY ASC.
| 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.