North Atlanta Plastic Surgery Group LLC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

Legal business name

NORTH ATLANTA PLASTIC SURGERY GROUP LLC

Practice address

11877 Douglas Rd Ste 102-367
Johns Creek, GA 30005-4325

Phone

(470) 451-9725

NPI assigned

Feb 3, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Kamran Abolmaali, MDNPI 1538489893

Title

Plastic Reconstructive Surgeon

Phone

(404) 781-9094

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• North Atlanta Plastic Surgery Group LLC

  • Plastic and Reconstructive Surgery Physician
  • Alpharetta, GA
  • NPI 1811519226

  O20200320002065

  Same enrollment

Tax ID family

North Atlanta Plastic Surgery Group LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• North Atlanta Plastic Surgery Group LLC

  • Plastic and Reconstructive Surgery Physician
  • Alpharetta, GA
  • NPI 1811519226
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• North Atlanta Plastic Surgery Group LLC

  • Plastic and Reconstructive Surgery Physician
  • Alpharetta, GA
  • NPI 1811519226
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kamran Abolmaali, MD

  • Plastic and Reconstructive Surgery Physician
  • Huntington, WV
  • NPI 1538489893

  GA

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1580688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580688000000",
    "number": "1356972848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11877 DOUGLAS RD STE 102-367",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300054325",
            "telephone_number": "470-451-9725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11877 DOUGLAS RD STE 102-367",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300054325",
            "telephone_number": "470-451-9725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH ATLANTA PLASTIC SURGERY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-03",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A",
        "authorized_official_last_name": "ABOLMAALI",
        "authorized_official_first_name": "KAMRAN",
        "authorized_official_title_or_position": "PLASTIC RECONSTRUCTIVE SURGEON",
        "authorized_official_telephone_number": "404-781-9094",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kemesha Nickelson, LPC
• Mary John Ninan, M.D
• Kera Njenga
• Michael Nordsiek, DO
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• North Chattahoochee Family Physicians, LLC
• North Georgia Endocrinology
• Northwest Diagnostic Imaging, Inc
• Northwest Diagnostic Imaging, Inc
• Northwoods Clinic LLC

• Plastic and Reconstructive Surgery Physician in Johns Creek, GA
• Providers in Johns Creek, GA by specialty
• Plastic and Reconstructive Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.