Active NPI
Breast Body Beauty LLC
- Plastic and Reconstructive Surgery Physician
- Smyrna, GA
National Provider Identifier
1669927075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- Legal business name
- BREAST BODY BEAUTY LLC
- Practice address
- 1300 Hawthorne Ave SE
Smyrna, GA 30080-2136 - Phone
- (678) 540-1144
- Fax
- (678) 540-1166
- NPI assigned
- Aug 16, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Aisha McKnight Baron, MD
- Title
- President
- Phone
- (678) 540-1144
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | Primary |
Addresses
Primary practice location
1300 Hawthorne Ave SE
Smyrna, GA 30080-2136
Mailing address
PO Box 128
Bellaire, TX 77402-0128
Phone (281) 833-3330
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1300 Hawthorne Ave SE
Smyrna, GA 30080
Phone (678) 540-1144
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Plastic and Reconstructive Surgery Physician
- Smyrna, GA
- NPI 1316277338
Plastic Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471305600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750032000000",
"number": "1669927075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 128",
"city": "BELLAIRE",
"state": "TX",
"postal_code": "774020128",
"telephone_number": "281-833-3330",
"fax_number": "281-833-3323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 HAWTHORNE AVE SE",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300802136",
"telephone_number": "678-540-1144",
"fax_number": "678-540-1166"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BREAST BODY BEAUTY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-16",
"last_updated": "2025-06-16",
"certification_date": "2025-06-16",
"status": "A",
"authorized_official_last_name": "BARON",
"authorized_official_first_name": "AISHA",
"authorized_official_middle_name": "MCKNIGHT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "678-540-1144",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Smyrna, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; 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.