Advanced Aesthetics, P.C

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

ADVANCED AESTHETICS, P.C

Practice address

874 W Lanier Ave
One Prestige Park Suite 100
Fayetteville, GA 30214-1511

Phone

(770) 461-4000

Fax

(770) 461-2790

NPI assigned

Aug 18, 2005

Last updated

Aug 28, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary E Snow

Title

Precertification Coordinator

Phone

(678) 883-1405

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 5

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.

• Edward Scott Gronka, M.D.

  • Plastic Surgery Physician
  • Fayetteville, GA
  • NPI 1306838099
  Medicare reassignment Care Compare group NPD
• Joseph Raniere,Jr, M.D.

  • Plastic Surgery Physician
  • Fayetteville, GA
  • NPI 1891787586
  Medicare reassignment Care Compare group NPD
• Takintope Akinbiyi, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Cedar Rapids, IA
  • NPI 1497048805

  GA

  Medicare reassignment Care Compare group NPD
• Paul David Feldman, M.D.

  • Plastic Surgery Physician
  • Fayetteville, GA
  • NPI 1588656367
  Medicare reassignment NPD
• Joel M Stewart Jr., M.D.

  • Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
  • Carrollton, GA
  • NPI 1447293584
  Medicare reassignment NPD

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188259200000",
    "number": "1144212846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "874 W LANIER AVE",
            "address_2": "ONE PRESTIGE PARK SUITE 100",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141511",
            "telephone_number": "770-461-4000",
            "fax_number": "770-461-2790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "874 W LANIER AVE",
            "address_2": "ONE PRESTIGE PARK SUITE 100",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141511",
            "telephone_number": "770-461-4000",
            "fax_number": "770-461-2790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED AESTHETICS, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-18",
        "last_updated": "2007-08-28",
        "status": "A",
        "authorized_official_last_name": "SNOW",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRECERTIFICATION COORDINATOR",
        "authorized_official_telephone_number": "678-883-1405"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Adegbemle, FNP
• Maryanne Adewakun
• Wasiu Femi Adisa, D.O.
• Advance 1 Ambulance LLC
• Advanced Aesthetics PC
• Advanced Physical Therapy of Fayette
• Advanced Physical Therapy of Fayette, LLC
• Affinity Healthcare LLC (Ajoy Healthcare)
• Agape Speech Therapy, LLC
• Agape Sports Performance Wellness and Rehab

• Plastic Surgery Physician in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Plastic Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.