Organization Active NPI

Atlanta Apc Plastic Surgery

  • Plastic Surgery Physician
  • Atlanta, GA
National Provider Identifier
1669155396
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
ATLANTA APC PLASTIC SURGERY
Practice address
285 Boulevard NE Ste 345B
Atlanta, GA 30312-4201
Phone
(140) 424-0280
NPI assigned
Aug 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Authorized official

Name
Geraldine Tharpe
Title
Administrative Office Manager
Phone
(140) 453-9973

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

285 Boulevard NE Ste 345B
Atlanta, GA 30312-4201

Mailing address

285 Boulevard NE Ste 345B
Atlanta, GA 30312-4201
Phone (140) 424-0280

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2084159Atlanta Apc Plastic Surgery285 Boulevard NE, Atlanta, GA 30312Certificate of waiverSep 18, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691539200000",
    "number": "1669155396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 BOULEVARD NE STE 345B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303124201",
            "telephone_number": "140-424-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 BOULEVARD NE STE 345B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303124201",
            "telephone_number": "140-424-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA APC PLASTIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A",
        "authorized_official_last_name": "THARPE",
        "authorized_official_first_name": "GERALDINE",
        "authorized_official_title_or_position": "ADMINISTRATIVE OFFICE MANAGER",
        "authorized_official_telephone_number": "140-453-9973"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.