Organization Active NPI

Plastic Surgery Associates

  • Plastic Surgery Physician
  • Kennesaw, GA
National Provider Identifier
1730422346
Registry record updated Jan 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
PLASTIC SURGERY ASSOCIATES
Practice address
3450 Acworth Due West Rd
BLDG 200 Ste 220
Kennesaw, GA 30144-1078
Phone
(770) 794-6643
Fax
(770) 794-6683
NPI assigned
Apr 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2020

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

Authorized official

Name
Dr. Marcus H. Crawford, MD
Title
Owner/Ceo
Phone
(770) 794-6643

Specialties & licenses 1

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

Addresses

Primary practice location

3450 Acworth Due West Rd
BLDG 200 Ste 220
Kennesaw, GA 30144-1078

Mailing address

3450 Acworth Due West Rd
BLDG 200 Ste 220
Kennesaw, GA 30144-1078
Phone (770) 794-6643

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1364860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579046400000",
    "number": "1730422346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 ACWORTH DUE WEST RD",
            "address_2": "BLDG 200 STE 220",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301441078",
            "telephone_number": "770-794-6643",
            "fax_number": "770-794-6683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 ACWORTH DUE WEST RD",
            "address_2": "BLDG 200 STE 220",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301441078",
            "telephone_number": "770-794-6643",
            "fax_number": "770-794-6683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC SURGERY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-02",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "770-794-6643",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "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 Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; 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.