Individual provider Active NPI

Stephanie Elysse Farber, M.D.

  • Plastic Surgery Physician
  • Atlanta, GA
National Provider Identifier
1265844617
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
85178 Issued in GA
Practice address
5673 Peachtree Dunwoody Rd Ste 420
Atlanta, GA 30342-1774
Phone
(678) 208-6008
Fax
(678) 208-6375
NPI assigned
May 20, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MT205808 PA
Plastic Surgery Physician 208200000X 85178 GA Primary

Addresses

Primary practice location

5673 Peachtree Dunwoody Rd Ste 420
Atlanta, GA 30342-1774

Mailing address

3550 Terrace St
6B Scaife Hall
Pittsburgh, PA 15213-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201014000697 GA Practitioner - Plastic and Reconstructive Surgery 9739509795 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
85178GAMDPlastic Surgery Physician
MT205808PAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Astra Plastic Surgery Center, LLC Plastic Surgery CurrentSince Jul 17, 2024 Accepting new patients
Stephanie Farber Plastic Surgery LLC Plastic Surgery Current Accepting new patients

Locations

3330 Preston Ridge Rd
Ste 390
Alpharetta, GA 30005
Phone (678) 208-6008

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1400544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1265844617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 TERRACE ST",
            "address_2": "6B SCAIFE HALL",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5673 PEACHTREE DUNWOODY RD STE 420",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421774",
            "telephone_number": "678-208-6008",
            "fax_number": "678-208-6375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARBER",
        "first_name": "STEPHANIE",
        "middle_name": "ELYSSE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-20",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "MT205808",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "GA",
            "license": "85178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.