Active NPI
Inside Out Advanced Wound Care LLC
- Plastic and Reconstructive Surgery Physician
- Atlanta, GA
National Provider Identifier
1407724164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- Legal business name
- INSIDE OUT ADVANCED WOUND CARE LLC
- Practice address
- 1 Baltimore PL NW Ste 400
Atlanta, GA 30308-2117 - Phone
- (404) 680-2653
- NPI assigned
- Oct 24, 2025
- Last updated
- Jun 19, 2026
- 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
- Miranda Bowen
- Title
- Credentialing
- Phone
- (615) 504-1984
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | Primary |
Addresses
Primary practice location
1 Baltimore PL NW Ste 400
Atlanta, GA 30308-2117
Mailing address
1 Baltimore PL NW Ste 400
Atlanta, GA 30308-2117
Phone (404) 680-2653
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Ophthalmology Physician
- Atlanta, GA
- NPI 1053364166
Plastic and Reconstructive Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761264000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781827200000",
"number": "1407724164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 BALTIMORE PL NW STE 400",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303082117",
"telephone_number": "404-680-2653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BALTIMORE PL NW STE 400",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303082117",
"telephone_number": "404-680-2653"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INSIDE OUT ADVANCED WOUND CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-24",
"last_updated": "2026-06-19",
"certification_date": "2026-06-19",
"status": "A",
"authorized_official_last_name": "BOWEN",
"authorized_official_first_name": "MIRANDA",
"authorized_official_title_or_position": "CREDENTIALING",
"authorized_official_telephone_number": "615-504-1984"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
- Innovative Options Incorporated
- Innovative Orthotics & Rehabilitation Inc
- Innovative Resource Group, LLC (APS Healthcare, Inc.)
- Innovative Therapeutic Solutions, LLC
- Innovative Vascular & Vein of Atlanta
- Inside Out Relationship Makeover Services, LLC
- Insight Eyecare P.C. (InSight Your Vision Source)
- Inspire Community Services Inc
- Inspire Health LLC
- Inspire Healthcare Services LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; 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.