NPIMap

Organization Active NPI

Plastic Surgery Center of West Georgia

Doing business as West Georgia Center for Plastic Surgery

  • Ambulatory Surgical Clinic/Center
  • Carrollton, GA
National Provider Identifier
1497897474
Registry record updated Sep 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
030330 Issued in GA
Legal business name
PLASTIC SURGERY CENTER OF WEST GEORGIA
Doing business as
West Georgia Center for Plastic Surgery
Practice address
150 Henry Burson Ave
Suite 200
Carrollton, GA 30117-4465
Phone
(770) 834-6302
Fax
(770) 834-7660
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2010

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

Authorized official

Name
Dr. Stephen Housman Kahler, M.D.NPI 1023008794
Title
Principal Officer
Phone
(770) 834-6302

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 030330 GA Primary

Addresses

Primary practice location

150 Henry Burson Ave
Suite 200
Carrollton, GA 30117-4465

Mailing address

150 Henry Burson Ave
Suite 200
Carrollton, GA 30117-4465
Phone (770) 834-6302

Other identifiers 3

IdentifierTypeStateIssuer
0007849777OtherGAAETNA
0007430251OtherGAAETNA PPO
R566OtherGAAMERIHEALTH

Other names 1

  • West Georgia Center for Plastic Surgery Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285027200000",
    "number": "1497897474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 HENRY BURSON AVE",
            "address_2": "SUITE 200",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301174465",
            "telephone_number": "770-834-6302",
            "fax_number": "770-834-7660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 HENRY BURSON AVE",
            "address_2": "SUITE 200",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301174465",
            "telephone_number": "770-834-6302",
            "fax_number": "770-834-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC SURGERY CENTER OF WEST GEORGIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2010-09-21",
        "status": "A",
        "authorized_official_last_name": "KAHLER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "HOUSMAN",
        "authorized_official_title_or_position": "PRINCIPAL OFFICER",
        "authorized_official_telephone_number": "770-834-6302",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "GA",
            "license": "030330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0007849777",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "0007430251",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "R566",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Georgia Center for Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carrollton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; 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.