Plastic Head and Neck Surgery Institute

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

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

Last updated

Jun 12, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Pradeep Kumar Sinha, MDNPI 1144203233

Title

Medical Director

Phone

(404) 257-1589

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295288751. Details of each certification follow.

• CCN 11C0001533 Ambulatory surgical center · Active · Name & address match · Details

Ambulatory surgical center certification: CCN 11C0001533

Legal name

PLASTIC, HEAD AND NECK SURGERY INSTITUTE, LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Jan 2, 2020

Last certification

Jan 2, 2020

Ownership / control type

Proprietary

Facility address

5730 Glenridge Drive #T150
Atlanta, GA 30328

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Pradeep Kumar Sinha, M.D.

  • Otolaryngology Physician
  • Atlanta, GA
  • NPI 1144203233
  NPD Authorized official

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": []
}

• 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 (Nelson Center for Plastic and Reconstructive Surgery)
• Plastic Surgery Centre of Atlanta, P.C.
• Plastic Surgery Group of Atlanta, PC
• Plastic Surgery Institute of Atlanta, P.C.
• Plastic Surgery Specialist LLC

• Ambulatory Surgical Clinic/Center in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Ambulatory Surgical Clinic/Center in Georgia

• 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; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.

Verify at the official NPI Registry.