Active NPI
The Georgia Center for Body Plastic Surgery
- Plastic and Reconstructive Surgery Physician
- Evans, GA
National Provider Identifier
1487080537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- Legal business name
- THE GEORGIA CENTER FOR BODY PLASTIC SURGERY
- Practice address
- 902 Ponder Place CT
Suite 1
Evans, GA 30809-3184 - Phone
- (706) 210-2625
- NPI assigned
- Sep 20, 2013
- 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
- Dr. Daniel J Sheehan, M.D.
- Title
- Managing Member
- Phone
- (706) 364-3223
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | Primary |
Addresses
Primary practice location
902 Ponder Place CT
Suite 1
Evans, GA 30809-3184
Mailing address
902 Ponder Place CT
Suite 1
Evans, GA 30809-3184
National Provider Directory
National Provider DirectoryLocations
902 Ponder Place Ct
Ste 1
Evans, GA 30809
Phone (706) 210-2625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379635200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1379635200000",
"number": "1487080537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "902 PONDER PLACE CT",
"address_2": "SUITE 1",
"city": "EVANS",
"state": "GA",
"postal_code": "308093184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "902 PONDER PLACE CT",
"address_2": "SUITE 1",
"city": "EVANS",
"state": "GA",
"postal_code": "308093184",
"telephone_number": "706-210-2625"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE GEORGIA CENTER FOR BODY PLASTIC SURGERY",
"organizational_subpart": "NO",
"enumeration_date": "2013-09-20",
"last_updated": "2013-09-20",
"status": "A",
"authorized_official_last_name": "SHEEHAN",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "706-364-3223",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"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": []
}
Other providers in Evans, GA
- Temple Builders, LLC
- Keenan F Templeton, PA-C
- Marianne Tennant
- Paul M Thaxton, M.D.
- The Center for Pain Management, LLC
- The Georgia Center for Dermatology and Skin Cancer Specialists
- The Georgia Center for Facial Plastic Surgery and Laser Aesthetics
- The Kroger Co
- The Legacy Dental Group, LLC
- The Nexus Pain Center of Augusta LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.