Georgia Plastic & Reconstructive Surgery

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

044295 Issued in GA

Legal business name

GEORGIA PLASTIC & RECONSTRUCTIVE SURGERY

Practice address

2285 Asquith Ave SW
Suite 200
Marietta, GA 30008-6008

Phone

(770) 485-1554

NPI assigned

Jan 9, 2010

Organization subpart

No

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

Authorized official

Name

Stanley Okoro, M.D.NPI 1255444063

Title

Ceo

Phone

(770) 485-1554

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

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

• Stanley A Okoro, MD

  • Plastic Surgery Physician
  • Marietta, GA
  • NPI 1255444063
  Medicare reassignment Authorized official
• Daniel Park, M.D.

  • Plastic Surgery Physician
  • Marietta, GA
  • NPI 1952546533
  Medicare reassignment NPD
• Skylar Coppinger Ackerman, PA-C

  • Physician Assistant
  • Cartersville, GA
  • NPI 1659132256
  NPD (past)
• Scarlet Kathleen Lamb, PA-C

  • Surgical Physician Assistant
  • Miami, FL
  • NPI 1215449798
  NPD (past)

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

{
    "created_epoch": "1262995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353110400000",
    "number": "1447580790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 388",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300810388",
            "telephone_number": "770-485-1554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2285 ASQUITH AVE SW",
            "address_2": "SUITE 200",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300086008",
            "telephone_number": "770-485-1554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA PLASTIC & RECONSTRUCTIVE SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-09",
        "last_updated": "2012-11-17",
        "status": "A",
        "authorized_official_last_name": "OKORO",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-485-1554",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "GA",
            "license": "044295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgia Oral and Facial Surgery,LLC
• Georgia Pain Consultants
• Georgia Pain Management Group LLC
• Georgia Pain Physicians PC
• Georgia Pain Physicians, PC
• Georgia Psychological Consultants
• Georgia Psychological Treatment Center LLC
• Georgia Regional Urology PC
• Georgia Surgical Centers Inc
• Georgia Total Care, LLC

• Plastic Surgery Physician in Marietta, GA
• Providers in Marietta, 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 Nov 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.