Organization Active NPI

Precision Hand and Reconstructive Surgery

  • Plastic and Reconstructive Surgery Physician
  • Decatur, GA
National Provider Identifier
1144460510
Registry record updated Feb 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
042593 Issued in GA
Legal business name
PRECISION HAND AND RECONSTRUCTIVE SURGERY
Practice address
2801 N Decatur Rd
Suite 395
Decatur, GA 30033-5949
Phone
(678) 789-9240
Fax
(770) 491-8917
NPI assigned
Feb 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2009

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

Authorized official

Name
Dr. Cyril Franklyn Halbert
Title
Owner
Phone
(678) 789-9240

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery of the Hand (Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0105X 042593 GA
Plastic and Reconstructive Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0122X 042593 GA Primary

Addresses

Primary practice location

2801 N Decatur Rd
Suite 395
Decatur, GA 30033-5949

Mailing address

PO Box 11546
Atlanta, GA 30355-1546
Phone (678) 789-9240

Other identifiers 1

IdentifierTypeStateIssuer
000837559AMedicaidGA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1235520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235520000000",
    "number": "1144460510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11546",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303551546",
            "telephone_number": "678-789-9240",
            "fax_number": "770-491-8917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 N DECATUR RD",
            "address_2": "SUITE 395",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335949",
            "telephone_number": "678-789-9240",
            "fax_number": "770-491-8917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION HAND AND RECONSTRUCTIVE SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-25",
        "last_updated": "2009-02-25",
        "status": "A",
        "authorized_official_last_name": "HALBERT",
        "authorized_official_first_name": "CYRIL",
        "authorized_official_middle_name": "FRANKLYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-789-9240",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2086S0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Surgery of the Hand",
            "state": "GA",
            "license": "042593",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "GA",
            "license": "042593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000837559A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2009; 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.