Pooler Plastic Surgery LLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

POOLER PLASTIC SURGERY LLC

Practice address

1000 Towne Center Blvd Ste 506
Pooler, GA 31322-4068

Phone

(912) 988-1781

Fax

(912) 777-7591

NPI assigned

Mar 18, 2019

Organization subpart

No

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

Authorized official

Name

Francis C Pettigrew, MDNPI 1427044650

Title

Owner/Physician

Phone

(912) 988-1781

Specialties & licenses 1

Addresses

Electronic endpoints 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

Locations

Interoperability endpoints

• Direct secure messaging: bethw@poolerplasticsurgery.com

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Francis Christopher Pettigrew, MD

  • Plastic Surgery Physician
  • Pooler, GA
  • NPI 1427044650
  NPD Authorized official

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552867200000",
    "number": "1194284299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 TOWNE CENTER BLVD STE 501",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224061",
            "telephone_number": "912-988-1781",
            "fax_number": "912-777-7591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 TOWNE CENTER BLVD STE 506",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224068",
            "telephone_number": "912-988-1781",
            "fax_number": "912-777-7591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POOLER PLASTIC SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-18",
        "last_updated": "2019-03-18",
        "status": "A",
        "authorized_official_last_name": "PETTIGREW",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "912-988-1781",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "BethW@poolerplasticsurgery.com",
            "affiliation": "N",
            "endpointDescription": "Office email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1000 Towne Center Blvd Ste 506",
            "city": "Pooler",
            "state": "GA",
            "country_code": "US",
            "postal_code": "313224068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Laquasha Pollard
• Aimee Elizabeth Pool, COTA/L
• Pooler Dialysis LLC
• Pooler Parkway Internal Medicine, LLC
• Pooler Physical Therapy LLC
• Lauren Potter
• Alexia Powell
• Myseantinique Powell
• Precision Medical Equipment, LLC
• Premier Weight Loss Management

• Plastic Surgery Physician in Pooler, GA
• Providers in Pooler, 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 Mar 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.