Individual provider Active NPI

Thomas Hagopian, M.D.

  • Plastic Surgery Physician
  • Atlanta, GA
National Provider Identifier
1023484037
Registry record updated May 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
A141069 Issued in CA
Practice address
99 Krog St NE Unit C110
Atlanta, GA 30307-2677
Phone
(404) 885-8542
Fax
(404) 885-8547
NPI assigned
Aug 12, 2015
Last updated
May 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X A141069 CA Primary

Addresses

Primary practice location

99 Krog St NE Unit C110
Atlanta, GA 30307-2677

Mailing address

99 Krog St NE Unit C110
Atlanta, GA 30307-2677
Phone (404) 885-8542

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210212001778 GA Practitioner - Plastic and Reconstructive Surgery 3779874953 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Emory University School of Medicine, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

99 Krog St NE
Unit C110
Atlanta, GA 30307-2677
Phone (404) 885-8542

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A141069CAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shepherd Center Inc CurrentSince Mar 1, 2022 Accepting new patients
The Plastic Surgery Center Plastic Surgery CurrentSince Sep 28, 2022 Accepting new patients
Hagopian Plastic Surgery, P.C. Plastic Surgery CurrentSince Feb 1, 2023 Accepting new patients

Locations

2020 Peachtree Rd NW
Atlanta, GA 30309
Phone (404) 350-7333

3286 Northside Pkwy NW
Ste 1000
Atlanta, GA 30327
Phone (404) 841-8450

99 Krog St NE
Unit C110
Atlanta, GA 30307
Phone (404) 885-8542

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685232000000",
    "number": "1023484037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 KROG ST NE UNIT C110",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303072677",
            "telephone_number": "404-885-8542",
            "fax_number": "404-885-8547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 KROG ST NE UNIT C110",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303072677",
            "telephone_number": "404-885-8542",
            "fax_number": "404-885-8547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGOPIAN",
        "first_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-12",
        "last_updated": "2023-05-28",
        "certification_date": "2023-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A141069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.