Northeast Georgia Plastic Surgery

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

NORTHEAST GEORGIA PLASTIC SURGERY

Practice address

1296 Sims St
Suite B
Gainesville, GA 30501-3850

Phone

(770) 534-1856

NPI assigned

Dec 3, 2007

Last updated

Sep 10, 2024By 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

Bruce M Parker

Title

Practice Manager

Phone

(770) 534-1856

Specialties & licenses 1

Addresses

Locations

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.

• Rileigh Stringer Whitmore, PA

  • Surgical Physician Assistant
  • Gainesville, GA
  • NPI 1316889488
  NPD (past)

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725926400000",
    "number": "1306028238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1296 SIMS ST",
            "address_2": "SUITE B",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013850",
            "telephone_number": "770-534-1856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1296 SIMS ST",
            "address_2": "SUITE B",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013850",
            "telephone_number": "770-534-1856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST GEORGIA PLASTIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "770-534-1856"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northeast Georgia Physicians Group Inc
• Northeast Georgia Physicians Group Urgent Care LLC
• Northeast Georgia Physicians Group-Urgent Care, LLC
• Northeast Georgia Physicians Group, Inc. (Medical Transport)
• Northeast Georgia Physicians Group, Inc.
• Northeast Georgia Plastic Surgery Associates, Plastic Surgery Center
• Northeast Georgia Podiatry LLC
• Northeast Georgia Rehabilitation Hospital LLC (Northeast Georgia Rehabilitation Institute)
• Northeast Georgia Specialty Group LLC (Neurology Physician Group and Advantage Sports Medicine)
• Northeast Georgia Speech Center, Inc.

• Plastic Surgery Physician in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Plastic Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.