Prima Center for Plastic Surgery PC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

PRIMA CENTER FOR PLASTIC SURGERY PC

Practice address

3096 Peachtree Industrial Blvd
Duluth, GA 30097-7918

Phone

(770) 495-1477

Fax

(770) 495-1488

NPI assigned

Feb 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Phillip H Nakano, MDNPI 1962502252

Title

Doctor

Phone

(770) 495-1477

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Prima Ambulatory Surgical Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Prima Ambulatory Surgical Services

  • Ambulatory Surgical Clinic/Center
  • Duluth, GA
  • NPI 1740528934
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Prima Ambulatory Surgical Services

  • Ambulatory Surgical Clinic/Center
  • Duluth, GA
  • NPI 1740528934
  NPPES parent name

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pallavi Archana Kumbla, MD

  • Plastic Surgery Physician
  • Cumming, GA
  • NPI 1134462534
  Medicare reassignment Care Compare group NPD
• Phillip Hiroto Nakano, M.D.

  • Plastic Surgery Physician
  • Duluth, GA
  • NPI 1962502252
  Medicare reassignment NPD Authorized official
• Aniket Kishor Sakharpe, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Duluth, GA
  • NPI 1720399967
  Medicare reassignment Care Compare group NPD
• Hanjoon Mike Song, MD

  • Plastic Surgery Physician
  • Duluth, GA
  • NPI 1063502375
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363132800000",
    "number": "1114065935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3096 PEACHTREE INDUSTRIAL BLVD",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300977918",
            "telephone_number": "770-495-1477",
            "fax_number": "770-495-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3096 PEACHTREE INDUSTRIAL BLVD",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300977918",
            "telephone_number": "770-495-1477",
            "fax_number": "770-495-1488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMA CENTER FOR PLASTIC SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2013-03-13",
        "status": "A",
        "authorized_official_last_name": "NAKANO",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "770-495-1477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55001192A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trinicia Pressley
• Pressley's Care Services
• Jon Michael Preston, M.S.P.T.
• Nyquala Medina Priester
• Prima Ambulatory Surgical Services
• Primary Care of Atlanta
• Primecare Medical Supply Inc
• Priority Primary Care
• Priumdental PC
• Proactive Medical Center LLC

• Specialist in Duluth, GA
• Providers in Duluth, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.