Summit Plastic Surgery

Primary specialty

SpecialistTaxonomy code 174400000X

License

045871 Issued in GA

Legal business name

SUMMIT PLASTIC SURGERY

Practice address

2310 Heron St
Brunswick, GA 31520-4239

Phone

(912) 265-8988

Fax

(912) 265-0996

NPI assigned

Jul 15, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Paula J Legere, M.D.NPI 1285728295

Title

President

Phone

(912) 265-8988

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

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

• Paula J Legere, MD

  • Plastic Surgery Physician
  • Brunswick, GA
  • NPI 1285728295
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440979200000",
    "number": "1215378583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 520",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315210520",
            "telephone_number": "912-265-8988",
            "fax_number": "912-265-0996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 HERON ST",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204239",
            "telephone_number": "912-265-8988",
            "fax_number": "912-265-0996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT PLASTIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-15",
        "last_updated": "2015-08-31",
        "status": "A",
        "authorized_official_last_name": "LEGERE",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-265-8988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "045871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth J Sudduth, M.D.
• Michael James Sullivan, M.D.
• Janna Marie Summerall-Smith, M.D.
• Summit Dermatology & Laser Center, P.C.
• Summit Internal Medicine
• Surf and Sand Pediatrics
• Surfside Kids Pediatric Dentistry P.C.
• Ralph Wade Swann Jr., MD
• Montana Swanson, DPT
• Patience Tajelleh

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; 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.