Individual provider Active NPI

Aisha Jenelle McKnight Baron, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Smyrna, GA
National Provider Identifier
1316277338
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
68934 Issued in GA
Practice address
1300 Hawthorne Ave SE
Smyrna, GA 30080-2136
Phone
(678) 540-1144
Fax
(678) 540-1166
NPI assigned
Jan 14, 2010
Last updated
Dec 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 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 68934 GA
Plastic and Reconstructive Surgery Physician 2086S0122X 68934 GA Primary

Addresses

Primary practice location

1300 Hawthorne Ave SE
Smyrna, GA 30080-2136

Mailing address

PO Box 128
Bellaire, TX 77402-0128
Phone (281) 833-3330

Other names 1

  • Aisha Jenelle McKnight 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
I20130611000036 GA Practitioner - Plastic and Reconstructive Surgery 6204075963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Baylor College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1300 Hawthorne Ave SE
Smyrna, GA 30080-2136
Phone (678) 540-1144

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
68934GAMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Breast Body Beauty LLC Plastic Surgery CurrentSince Oct 29, 2015 Accepting new patients
CPS Infusion, LLC Plastic Surgery PastSince Feb 10, 2025 Accepting new patients

Locations

2550 Windy Hill Rd SE
Ste 312
Marietta, GA 30067
Phone (678) 540-1144

1300 Hawthorne Ave SE
Smyrna, GA 30080
Phone (678) 540-1144

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1316277338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 128",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774020128",
            "telephone_number": "281-833-3330",
            "fax_number": "281-833-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 HAWTHORNE AVE SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300802136",
            "telephone_number": "678-540-1144",
            "fax_number": "678-540-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKNIGHT BARON",
        "first_name": "AISHA",
        "middle_name": "JENELLE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-14",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "GA",
            "license": "68934",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "GA",
            "license": "68934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AISHA",
            "last_name": "MCKNIGHT",
            "middle_name": "JENELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Smyrna, GA

Sources for this page

Verify at the official NPI Registry.