Aesthetic Plastic Surgery Center

Primary specialty

SpecialistTaxonomy code 174400000X

License

18675 Issued in GA

Legal business name

AESTHETIC PLASTIC SURGERY CENTER

Practice address

416 Gordon Ave
Thomasville, GA 31792-6644

Phone

(229) 228-7200

Fax

(229) 228-5193

NPI assigned

Aug 22, 2011

Last updated

Oct 30, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. George Courtney Houston, MD

Title

Medical Director

Phone

(229) 228-7200

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383091200000",
    "number": "1710267703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 GORDON AVE",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317926644",
            "telephone_number": "229-228-7200",
            "fax_number": "229-228-5193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 GORDON AVE",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317926644",
            "telephone_number": "229-228-7200",
            "fax_number": "229-228-5193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AESTHETIC PLASTIC SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-22",
        "last_updated": "2013-10-30",
        "status": "A",
        "authorized_official_last_name": "HOUSTON",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "COURTNEY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "229-228-7200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "18675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "238212HO",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003112787A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tomesha Adams, MEDICAL ASSISTANT
• Angela Renee Addison, FNP-C
• Adk Thomasville Operator, LLC (Thomasville Nursing and Rehab Center)
• Advanced Medical Group LLC (Thomas Drug Store)
• Aesthetic Laser & Surgery Facility
• Aesthetica Surgery Center, LLC
• Albany Area Primary Health Care, Inc (Rural HIV Model Thomasville)
• Charles Alvin Alday Jr., PA
• William Ralph Alday, CRNA
• Ragin Maria Alex, MD

• Specialist in Thomasville, GA
• Providers in Thomasville, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2013; 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.