Face Atlanta

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

FACE ATLANTA

Practice address

2285 Asquith Ave SW Ste 200
Marietta, GA 30008-6092

Phone

(404) 401-5791

NPI assigned

Feb 13, 2024

Organization subpart

No

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

Authorized official

Name

Tanisha Hutchinson, MDNPI 1346637543

Title

Owner

Phone

(404) 993-1320

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

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.

• Tanisha Hutchinson, MD

  • Facial Plastic Surgery Physician
  • Marietta, GA
  • NPI 1346637543
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1707782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731024000000",
    "number": "1275397978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5559 GLENRIDGE DR APT 1109",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303427202",
            "telephone_number": "404-993-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2285 ASQUITH AVE SW STE 200",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300086092",
            "telephone_number": "404-401-5791"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6125 Roswell Rd Ste J",
            "address_purpose": "LOCATION",
            "city": "Sandy Springs",
            "state": "GA",
            "postal_code": "303283905",
            "country_code": "US",
            "telephone_number": "404-993-1320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FACE ATLANTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A",
        "authorized_official_last_name": "HUTCHINSON",
        "authorized_official_first_name": "TANISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-993-1320",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donatus Ikechukwu Ezenneka
• Freda Chinasa Ezeokonkwo, NP
• Anna Ezrine
• Caroline B Fabian
• Thaddeus Sebastian Fabian, M.D.
• Creystal Demi Fagbohun, LCSW
• Amanda Fairbanks
• Robert Thomas Fairman, PHD, MPH, CHES
• Shavon Falcon, DC
• Hallie Jaye Faley

• Medical Specialty Clinic/Center in Marietta, GA
• Providers in Marietta, GA by specialty
• Medical Specialty Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.