Organization Active NPI

James B Depew MD PC

Doing business as Depew Plastics

  • Plastic and Reconstructive Surgery Physician
  • Sandy Springs, GA
National Provider Identifier
1659893139
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
078473 Issued in GA
Legal business name
JAMES B DEPEW MD PC
Doing business as
Depew Plastics
Practice address
5673 Peachtree Dunwoody Rd Ste 470
Sandy Springs, GA 30342-1776
Phone
(678) 752-7842
Fax
(678) 374-7327
NPI assigned
Jul 17, 2017
Last updated
Sep 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Authorized official

Name
James Bradford Depew, MD FACSNPI 1033374392
Title
Owner
Phone
(678) 752-7842

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
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X 078473 GA Primary

Addresses

Primary practice location

5673 Peachtree Dunwoody Rd Ste 470
Sandy Springs, GA 30342-1776

Mailing address

5673 Peachtree Dunwoody Rd Ste 470
Sandy Springs, GA 30342-1776
Phone (678) 752-7842

Other names 1

  • Depew Plastics Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jamesdepew@depewplastics.emadirect.md Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180907001551 GA Part B Supplier - Clinic/Group Practice 3577813898 Receives reassigned benefits from 1 practitioner
Practice locations: Marietta, GA

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1500249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788998400000",
    "number": "1659893139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5673 PEACHTREE DUNWOODY RD STE 470",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303421776",
            "telephone_number": "678-752-7842",
            "fax_number": "678-374-7327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5673 PEACHTREE DUNWOODY RD STE 470",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303421776",
            "telephone_number": "678-752-7842",
            "fax_number": "678-374-7327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES B DEPEW MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-17",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A",
        "authorized_official_last_name": "DEPEW",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "BRADFORD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-752-7842",
        "authorized_official_credential": "MD FACS"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "GA",
            "license": "078473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jamesdepew@depewplastics.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "ModMed DirectMail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5673 Peachtree Dunwoody Rd Ste 470",
            "city": "Sandy Springs",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303421776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Depew Plastics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sandy Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.