Organization Active NPI

Center for Cosmetic & Reconstructive Surgery PC

  • Plastic Surgery Physician
  • Atlanta, GA
National Provider Identifier
1144322538
Registry record updated Dec 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
043437 Issued in GA
Legal business name
CENTER FOR COSMETIC & RECONSTRUCTIVE SURGERY PC
Practice address
200 Galleria Pkwy SE
Suite 590
Atlanta, GA 30339-5918
Phone
(770) 951-7595
Fax
(770) 951-7598
NPI assigned
Sep 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2010

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

Authorized official

Name
Mr. Faramarz Movagharnia, DO
Title
Owner
Phone
(770) 951-7595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208200000X 043437 GA Primary

Addresses

Primary practice location

200 Galleria Pkwy SE
Suite 590
Atlanta, GA 30339-5918

Mailing address

200 Galleria Pkwy SE
Suite 590
Atlanta, GA 30339-5964
Phone (770) 951-7595

Other identifiers 1

IdentifierTypeStateIssuer
00766983AMedicaidGA

Other names 1

  • Faramarz Movagharnia DO Other name

National Provider Directory

National Provider Directory

Locations

200 Galleria Pkwy SE
Ste 590
Atlanta, GA 30339
Phone (770) 951-7595

NPI Registry JSON

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291852800000",
    "number": "1144322538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 GALLERIA PKWY SE",
            "address_2": "SUITE 590",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395964",
            "telephone_number": "770-951-7595",
            "fax_number": "770-951-7598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GALLERIA PKWY SE",
            "address_2": "SUITE 590",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395918",
            "telephone_number": "770-951-7595",
            "fax_number": "770-951-7598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR COSMETIC & RECONSTRUCTIVE SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-05",
        "last_updated": "2010-12-09",
        "status": "A",
        "authorized_official_last_name": "MOVAGHARNIA",
        "authorized_official_first_name": "FARAMARZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-951-7595",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "GA",
            "license": "043437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00766983A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Faramarz Movagharnia DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.