Active NPI
Csra Plastic Surgery Associates PC
- Plastic and Reconstructive Surgery Physician
- Augusta, GA
National Provider Identifier
1356007264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- Legal business name
- CSRA PLASTIC SURGERY ASSOCIATES PC
- Practice address
- 1303 Dantignac St Ste 1000
Augusta, GA 30901-2776 - Phone
- (706) 736-1830
- NPI assigned
- Nov 15, 2021
- 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
- Sarah Crandall, MD
- Title
- President
- Phone
- (706) 736-1830
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | |||
| Plastic and Reconstructive Surgery Physician | 2086S0122X | Primary |
Addresses
Primary practice location
1303 Dantignac St Ste 1000
Augusta, GA 30901-2776
Mailing address
3696 Wheeler Rd
Augusta, GA 30909-6520
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gynecologic Oncology Physician
- Augusta, GA
- NPI 1063429322
-
- Hematology & Oncology Physician
- Augusta, GA
- NPI 1477996965
-
- Hematology & Oncology Physician
- Athens, GA
- NPI 1285831677
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636934400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1636934400000",
"number": "1356007264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3696 WHEELER RD",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309096520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1303 DANTIGNAC ST STE 1000",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309012776",
"telephone_number": "706-736-1830"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CSRA PLASTIC SURGERY ASSOCIATES PC",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-15",
"last_updated": "2021-11-15",
"certification_date": "2021-11-15",
"status": "A",
"authorized_official_last_name": "CRANDALL",
"authorized_official_first_name": "SARAH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "706-736-1830",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.