Organization Active NPI

Precision Plastic Surgery, PA Columbus

  • Plastic Surgery Physician
  • Columbus, NC
National Provider Identifier
1245662998
Registry record updated Aug 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
PRECISION PLASTIC SURGERY, PA COLUMBUS
Practice address
54 Hospital Dr
Ste 3B
Columbus, NC 28722-8516
Phone
(864) 641-1491
NPI assigned
Aug 5, 2013
Organization subpart
Yes
Parent organization
PRECISION PLASTIC SURGERY, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 5, 2013

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

Authorized official

Name
Tonya Stevens
Title
Office Manager
Phone
(864) 641-1491

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

54 Hospital Dr
Ste 3B
Columbus, NC 28722-8516

Mailing address

2995 Reidville Rd
Ste 150
Spartanburg, SC 29301-5668
Phone (864) 641-1491

Other identifiers 2

IdentifierTypeStateIssuer
GP6202MedicaidSC
T49356MedicaidSC

National Provider Directory

National Provider Directory
Part of
Precision Plastic Surgery PA

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375660800000",
    "number": "1245662998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2995 REIDVILLE RD",
            "address_2": "STE 150",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293015668",
            "telephone_number": "864-641-1491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 HOSPITAL DR",
            "address_2": "STE 3B",
            "city": "COLUMBUS",
            "state": "NC",
            "postal_code": "287228516",
            "telephone_number": "864-641-1491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION PLASTIC SURGERY, PA COLUMBUS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRECISION PLASTIC SURGERY, PA",
        "enumeration_date": "2013-08-05",
        "last_updated": "2013-08-05",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "TONYA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "864-641-1491"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP6202",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T49356",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; 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.