Thaddeus Sebastian Fabian, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

051646 Issued in GA

Practice address

823 Campbell Hill St NW
Marietta, GA 30060-1144

Phone

(770) 425-0118

Fax

(770) 426-1626

NPI assigned

Apr 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Marietta Plastic Surgery

  • Plastic and Reconstructive Surgery Physician
  • Marietta, GA
  • NPI 1316165723
  NPD (past)
• Marietta Plastic Surgery

  • Ambulatory Surgical Clinic/Center
  • Marietta, GA
  • NPI 1417116567
  NPD (past)

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1649235045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 CAMPBELL HILL ST NW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601144",
            "telephone_number": "770-425-0118",
            "fax_number": "770-426-1626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 CAMPBELL HILL ST NW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601144",
            "telephone_number": "770-425-0118",
            "fax_number": "770-426-1626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABIAN",
        "first_name": "THADDEUS",
        "middle_name": "SEBASTIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "GA",
            "license": "051646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emeka Albert Ezegbo, RPH
• Donatus Ikechukwu Ezenneka
• Freda Chinasa Ezeokonkwo, NP
• Anna Ezrine
• Caroline B Fabian
• Face Atlanta
• Creystal Demi Fagbohun, LCSW
• Amanda Fairbanks
• Robert Thomas Fairman, PHD, MPH, CHES
• Shavon Falcon, DC

• 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 Jul 13, 2026; 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.