North Georgia Plastic Surgery LLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

NORTH GEORGIA PLASTIC SURGERY LLC

Practice address

102 Gross Crescent Cir
Suite 501
Ft Oglethorpe, GA 30742-3600

Phone

(423) 648-5525

Fax

(423) 648-5240

NPI assigned

Dec 6, 2006

Last updated

Jan 23, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David W Adcock, MD

Title

Physician Owner

Phone

(423) 648-5525

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Punit Bhutwala, MD

  • Internal Medicine Physician
  • Chattanooga, TN
  • NPI 1316919384
  NPD (past)

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232668800000",
    "number": "1245399260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 N LYERLY ST",
            "address_2": "STE 200",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374042728",
            "telephone_number": "423-648-5525",
            "fax_number": "423-648-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 GROSS CRESCENT CIR",
            "address_2": "SUITE 501",
            "city": "FT OGLETHORPE",
            "state": "GA",
            "postal_code": "307423600",
            "telephone_number": "423-648-5525",
            "fax_number": "423-648-5240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH GEORGIA PLASTIC SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2009-01-23",
        "status": "A",
        "authorized_official_last_name": "ADCOCK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "423-648-5525",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Everett Lee
• North Georgia Behavioral Therapy LLC
• North Georgia Pain Specialist, LLC
• North Georgia Pediatric Therapies, LLC
• North Georgia Pediatric Therapies, LLC
• Northland Hearing Centers Inc (Audibel Hearing aid Centers)
• Oglethorpe Physician Services, LLC
• Nancy J Olson, PTA
• Meagan Oslund, OTD, OTR/L
• Randall K Overton, RPH

• Plastic Surgery Physician in Fort Oglethorpe, GA
• Providers in Fort Oglethorpe, 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 Jan 23, 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.