Active NPI
Center for Surgical Arts, Inc
- Dermatology Physician
- Lilburn, GA
National Provider Identifier
1235612862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- CENTER FOR SURGICAL ARTS, INC
- Practice address
- 4650 Stone Mountain Hwy
Lilburn, GA 30047-4614 - Phone
- (678) 344-2450
- Fax
- (678) 344-2501
- NPI assigned
- Sep 10, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sylvia Richardson
- Title
- Office Manager
- Phone
- (678) 344-2450
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary | ||
| Plastic Surgery Physician | 208200000X |
Addresses
Primary practice location
4650 Stone Mountain Hwy
Lilburn, GA 30047-4614
Mailing address
4650 Stone Mountain Hwy
Lilburn, GA 30047-4614
Phone (678) 344-2450
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536537600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1536537600000",
"number": "1235612862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4650 STONE MOUNTAIN HWY",
"city": "LILBURN",
"state": "GA",
"postal_code": "300474614",
"telephone_number": "678-344-2450",
"fax_number": "678-344-2501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4650 STONE MOUNTAIN HWY",
"city": "LILBURN",
"state": "GA",
"postal_code": "300474614",
"telephone_number": "678-344-2450",
"fax_number": "678-344-2501"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTER FOR SURGICAL ARTS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-10",
"last_updated": "2018-09-10",
"status": "A",
"authorized_official_last_name": "RICHARDSON",
"authorized_official_first_name": "SYLVIA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "678-344-2450"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
},
{
"code": "208200000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lilburn, GA
- Jeffrey A Carlisle, M.D.
- Letoiya Marie Carter-Robinson, D.D.S.
- Natasha E Carter, RD,LD
- Center for Counseling, Rehabilitation, & Personal Evaluation
- Center for Counseling, Rehabilitation, and Personal Evaluation
- Century Foot Care Specialists, P.C.
- Deepa E Chacko
- Renee Kimberley Chambers
- Alyse Charles Jones
- Terry R. Chastain, L.P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.