Williams Plastic and Reconstructive Surgery,PC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

ASTC001175 Issued in GA

Legal business name

WILLIAMS PLASTIC AND RECONSTRUCTIVE SURGERY,PC

Doing business as

Day Surgery & Recovery Center

Practice address

1506 Professional Court
Dalton, GA 30720

Phone

(706) 278-2700

Fax

(706) 278-3444

NPI assigned

Nov 30, 2005

Organization subpart

No

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

Authorized official

Name

Klancy Lauren Owens

Title

Practice Manager

Phone

(706) 278-2700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Day Surgery & Recovery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Williams Plastic and Reconstructive Surgery,PC

  • Plastic Surgery Physician
  • Dalton, GA
  • NPI 1619228897

  0244494953

  Same PAC ID

Listed as

Williams Plastic and Reconstructive SurgerypcCCN 11C0001204

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Practitioners 1

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

• Allison Bond Wilson, PA-C

  • Physician Assistant
  • Dalton, GA
  • NPI 1629530365
  NPD (past)

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354233600000",
    "number": "1699759035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 PROFESSIONAL COURT",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "30720",
            "telephone_number": "706-278-2700",
            "fax_number": "706-278-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 PROFESSIONAL COURT",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "30720",
            "telephone_number": "706-278-2700",
            "fax_number": "706-278-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMS PLASTIC AND RECONSTRUCTIVE SURGERY,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-30",
        "last_updated": "2012-11-30",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "KLANCY",
        "authorized_official_middle_name": "LAUREN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "706-278-2700"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "GA",
            "license": "ASTC001175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00186938",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Day Surgery & Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Linda Wiegand, LPC
• Jenny L Wilhoite, LPC, M.ED
• William P McKay MD
• Williams Chiropractic Center
• Williams Plastic and Reconstructive Surgery,PC
• Betty Williams, FNP
• Joel Alfred Williams III, MD
• Nancy Lampkin Williams, D.D.S.
• Parker James Williams, DO, MBA
• Rashunda Williams

• Ambulatory Surgical Clinic/Center in Dalton, GA
• Providers in Dalton, GA by specialty
• Ambulatory Surgical Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.