Individual provider Active NPI

Lindsey Wong Webb, MD

  • Plastic and Reconstructive Surgery Physician
  • Atlanta, GA
National Provider Identifier
1285869867
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
73415 Issued in GA
Practice address
5505 Peachtree Dunwoody Rd Ste 580
Atlanta, GA 30342-1727
Phone
(404) 661-6865
Fax
(866) 259-1439
NPI assigned
May 26, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 73415 GA
Plastic and Reconstructive Surgery Physician 2086S0122X 73415 GA Primary

Addresses

Primary practice location

5505 Peachtree Dunwoody Rd Ste 580
Atlanta, GA 30342-1727

Mailing address

5505 Peachtree Dunwoody Rd Ste 220
Atlanta, GA 30342-1749
Phone (404) 661-6865

Other identifiers 1

IdentifierTypeStateIssuer
003159455BMedicaidGA

Other names 1

  • Susan Lindsey Wong Former name

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
I20151119002350 GA Practitioner - Plastic and Reconstructive Surgery 3173836301 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5505 Peachtree Dunwoody Rd
Suite 580
Atlanta, GA 30342-1727
Phone (404) 661-6865

Hospital & facility affiliations

  • Northside Hospital Hospital, Atlanta, GA, CCN 110161

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy43
Melanoma (skin cancer) excision16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
73415GAMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Webb Plastic Surgery Plastic Surgery CurrentSince Mar 8, 2020 Accepting new patients
JC Plastic Surgery of Atlanta, LLC Plastic and Reconstructive Surgery PastSince Mar 1, 2020 Accepting new patients
The Plastic Surgery Center Plastic Surgery PastSince Sep 28, 2022 Accepting new patients

Locations

5505 Peachtree Dunwoody Rd
Ste 220
Sandy Springs, GA 30342
Phone (404) 312-3878

5505 Peachtree Dunwoody Rd
Ste 580
Sandy Springs, GA 30342
Phone (404) 256-6336

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1243296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1285869867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 PEACHTREE DUNWOODY RD STE 220",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421749",
            "telephone_number": "404-661-6865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 PEACHTREE DUNWOODY RD STE 580",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421727",
            "telephone_number": "404-661-6865",
            "fax_number": "866-259-1439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB",
        "first_name": "LINDSEY",
        "middle_name": "WONG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-26",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "GA",
            "license": "73415",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "GA",
            "license": "73415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003159455B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "WONG",
            "middle_name": "LINDSEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.