Plastic Surgery Group of Atlanta, PC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

PLASTIC SURGERY GROUP OF ATLANTA, PC

Practice address

755 Mount Vernon Hwy NE Ste 250
Atlanta, GA 30328-4290

Phone

(404) 348-4456

NPI assigned

Sep 26, 2020

Organization subpart

No

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

Authorized official

Name

Dr. John Philip Connors III, MDNPI 1649252263

Title

Ceo

Phone

(404) 348-4456

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 4

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

• John Philip Connors III, MD

  • Plastic Surgery Physician
  • Atlanta, GA
  • NPI 1649252263
  NPD Authorized official
• Jennifer Azar, NP-C

  • Nurse Practitioner
  • Alpharetta, GA
  • NPI 1376678920
  NPD (past)
• Ana Carolyn Bonilla, MSN, FNP-C

  • Family Nurse Practitioner
  • Alpharetta, GA
  • NPI 1851190722
  NPD (past)
• Maggie Schreck, PA-C

  • Physician Assistant
  • Atlanta, GA
  • NPI 1972155604
  NPD (past)

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

{
    "created_epoch": "1601078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602201600000",
    "number": "1225645013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 MOUNT VERNON HWY NE STE 250",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284290",
            "telephone_number": "404-348-4456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 MOUNT VERNON HWY NE STE 250",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284290",
            "telephone_number": "404-348-4456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2710 Old Milton Pkwy Ste 175",
            "address_purpose": "LOCATION",
            "city": "Alpharetta",
            "state": "GA",
            "postal_code": "300092477",
            "country_code": "US",
            "telephone_number": "404-348-4456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PLASTIC SURGERY GROUP OF ATLANTA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-26",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A",
        "authorized_official_last_name": "CONNORS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-348-4456",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "60249",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.drjohnconnors.com",
            "affiliation": "N",
            "endpointDescription": "Office Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "755 Mount Vernon Hwy NE Ste 250",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303284290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ashleigh Danielle Plasencia
• Plastic and Reconstructive Surgery of Atlanta
• Plastic Head and Neck Surgery Institute
• Plastic Surgery Associates of Georgia
• Plastic Surgery Centre of Atlanta, P.C.
• Plastic Surgery Institute of Atlanta, P.C.
• Plastic Surgery Specialist LLC
• Plastikos Plastic and Reconstructive Surgery
• Plastikos Surgery Center
• Carina Platner, APRN

• Plastic Surgery Physician in Atlanta, GA
• Providers in Atlanta, 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 Oct 9, 2020; 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.