Organization Active NPI

East Coast Plastic Surgery of Georgia LLC

  • Plastic Surgery Physician
  • Atlanta, GA
National Provider Identifier
1699696328
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
EAST COAST PLASTIC SURGERY OF GEORGIA LLC
Practice address
2230 Godby Rd
Atlanta, GA 30349-5002
Phone
(212) 628-7300
Fax
(212) 628-7302
NPI assigned
Jul 21, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Authorized official

Name
Mr. Michael Manzo
Title
Accounts Receivable Manager
Phone
(212) 628-7300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

2230 Godby Rd
Atlanta, GA 30349-5002

Mailing address

2230 Godby Rd
Atlanta, GA 30349-5002
Phone (212) 628-7300

National Provider Directory

National Provider Directory

Locations

2230 Godby Rd
College Park, GA 30349
Phone (404) 268-0828

NPI Registry JSON

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

{
    "created_epoch": "1784592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784592000000",
    "number": "1699696328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 GODBY RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303495002",
            "telephone_number": "212-628-7300",
            "fax_number": "212-628-7302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 GODBY RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303495002",
            "telephone_number": "212-628-7300",
            "fax_number": "212-628-7302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST COAST PLASTIC SURGERY OF GEORGIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-21",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A",
        "authorized_official_last_name": "MANZO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "ACCOUNTS RECEIVABLE MANAGER",
        "authorized_official_telephone_number": "212-628-7300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-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 Jul 21, 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.