Carolina Plastic Surgery PA

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CAROLINA PLASTIC SURGERY PA

Practice address

100 E Wood St
Ste 100
Spartanburg, SC 29303-3004

Phone

(864) 583-1222

Fax

(864) 582-5154

NPI assigned

May 17, 2006

Organization subpart

No

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

Authorized official

Name

Ashley Rawson Kerekes, MDNPI 1982924817

Title

Owner/President

Phone

(302) 388-0861

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Practitioners 4

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

• Ashley Rawson Kerekes, M.D.

  • Plastic Surgery Physician
  • Spartanburg, SC
  • NPI 1982924817
  Medicare reassignment NPD Authorized official
• Hannah S. England, MD

  • Plastic Surgery Physician
  • Spartanburg, SC
  • NPI 1457856932
  Medicare reassignment
• John Thomas Lettieri, MD

  • Plastic Surgery Physician
  • Spartanburg, SC
  • NPI 1497711808
  Medicare reassignment
• Kristen Russell, APRN

  • Family Nurse Practitioner
  • Spartanburg, SC
  • NPI 1891267290
  NPD

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770163200000",
    "number": "1659323624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E WOOD ST STE 100",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293033001",
            "telephone_number": "864-583-1222",
            "fax_number": "864-582-5154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E WOOD ST",
            "address_2": "STE 100",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293033004",
            "telephone_number": "864-583-1222",
            "fax_number": "864-582-5154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA PLASTIC SURGERY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A",
        "authorized_official_last_name": "KEREKES",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "RAWSON",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "302-388-0861",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina Orthotics and Prosthetics LLC
• Carolina Pediatric Dentistry
• Carolina Pedorthic, LLC
• Carolina Physical Medicine and
• Carolina Physicians and Rehab, LLC
• Carolina Professional Staffing, Inc.
• Carolina Smiles, LLC
• Carolina Sunrise Home Health Care, LLC
• Carolina Surgical Specialists LLC
• Carolina Vision Associates, LLC

• Ambulatory Surgical Clinic/Center in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Ambulatory Surgical Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.