Dalton Plastic Surgery

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

DALTON PLASTIC SURGERY

Practice address

1501 Broadrick Dr Ste 1
Dalton, GA 30720-3014

Phone

(706) 226-3311

Fax

(706) 275-8723

NPI assigned

Jun 2, 2021

Last updated

Jun 2, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

DALTON PLASTIC SURGERY CENTERAs reported in NPPES

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

Authorized official

Name

Carol Smith

Title

Ins Clerk

Phone

(706) 226-3311

Specialties & licenses 1

Addresses

Part of

Dalton Plastic Surgery

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Dalton Plastic Surgery Center

  • Plastic Surgery Physician
  • Dalton, GA
  • NPI 1659606408
  NPPES parent name

Practitioners 4

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.

• Mary Elizabeth Cole, MD

  • Dermatology Physician
  • Dalton, GA
  • NPI 1821292301
  NPD (past)
• Kara Allison Cook, APRN BC

  • Family Nurse Practitioner
  • Dalton, GA
  • NPI 1740329077
  NPD (past)
• Courtney Griffin Johnston, PA-C

  • Surgical Physician Assistant
  • Dalton, GA
  • NPI 1861940462
  NPD (past)
• Reginald Robert Sherrill, M.D.

  • Plastic Surgery Physician
  • Dalton, GA
  • NPI 1528007663
  NPD (past)

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

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622592000000",
    "number": "1356917199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 BROADRICK DR STE 1",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307203014",
            "telephone_number": "706-226-3311",
            "fax_number": "706-275-8723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 BROADRICK DR STE 1",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307203014",
            "telephone_number": "706-226-3311",
            "fax_number": "706-275-8723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALTON PLASTIC SURGERY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DALTON PLASTIC SURGERY CENTER",
        "enumeration_date": "2021-06-02",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "INS CLERK",
        "authorized_official_telephone_number": "706-226-3311"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dalton Family Practice, P.C.
• Dalton Foot & Ankle Center Inc
• Dalton Heart Center, P.C.
• Dalton Obstetrics & Gynecology, PC
• Dalton Outpatient Center Dal Diagnostic Assoc LP (Dalton Imaging Center)
• Dalton Plastic Surgery Center
• Dalton Psychiatric Center
• Dalton Psychology Associates, LLC
• Dalton Public Schools
• Dalton Surgical Group PC

• Plastic Surgery Physician in Dalton, GA
• Providers in Dalton, 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 Jun 2, 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.

Verify at the official NPI Registry.