Organization Active NPI

The Georgia Center for Body Plastic Surgery

  • Plastic and Reconstructive Surgery Physician
  • Evans, GA
National Provider Identifier
1487080537
Registry record updated Sep 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
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

Updated by the provider on Sep 20, 2013

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)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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

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.

Verify at the official NPI Registry.