Active NPI
Plastic Head and Neck Surgery Institute
- Ambulatory Surgical Clinic/Center
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- PLASTIC HEAD AND NECK SURGERY INSTITUTE
- Practice address
- 5730 Glenridge Dr Ste T150
Atlanta, GA 30328-5872 - Phone
- (404) 943-1111
- Fax
- (404) 843-0478
- NPI assigned
- Aug 1, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Pradeep Kumar Sinha, MD
- Title
- Medical Director
- Phone
- (404) 257-1589
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
5730 Glenridge Dr Ste T150
Atlanta, GA 30328-5872
Mailing address
5730 Glenridge Dr Ste T150
Atlanta, GA 30328-5872
Phone (404) 943-1111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190328000357 | GA | Part B Supplier - Ambulatory Surgical Center | 7012257108 | Practice locations: Atlanta, GA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2119762 | Plastic, Head and Neck Surgery Institute, LLC | Certificate of waiver | Oct 3, 2026 |
National Provider Directory
National Provider DirectoryLocations
5730 Glenridge Dr
Ste T200
Sandy Springs, GA 30328
Phone (404) 256-5428
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Otolaryngology Physician
- Atlanta, GA
- NPI 1144203233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470009600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1560297600000",
"number": "1295288751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5730 GLENRIDGE DR STE T150",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303285872",
"telephone_number": "404-943-1111",
"fax_number": "404-843-0478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5730 GLENRIDGE DR STE T150",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303285872",
"telephone_number": "404-943-1111",
"fax_number": "404-843-0478"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLASTIC HEAD AND NECK SURGERY INSTITUTE",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-01",
"last_updated": "2019-06-12",
"status": "A",
"authorized_official_last_name": "SINHA",
"authorized_official_first_name": "PRADEEP",
"authorized_official_middle_name": "KUMAR",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "404-257-1589",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
- Paul Morgan Planer, O.D.
- Planned Parenthood Southeast, Inc
- Mikayla Plansker
- Ashleigh Danielle Plasencia
- Plastic and Reconstructive Surgery of Atlanta
- Plastic Surgery Associates of Georgia
- Plastic Surgery Centre of Atlanta, P.C.
- Plastic Surgery Group of Atlanta, PC
- Plastic Surgery Institute of Atlanta, P.C.
- Plastic Surgery Specialist LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.