Plastic and Reconstructive Surgery Center, PC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PLASTIC AND RECONSTRUCTIVE SURGERY CENTER, PC

Practice address

820 Saint Sebastian Way
Suite 1a
Augusta, GA 30901-2643

Phone

(706) 724-7288

Fax

(706) 724-7394

NPI assigned

Jun 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. George Stephenson Drew, MD

Title

Owner Ceo

Phone

(706) 724-7288

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334534400000",
    "number": "1780888156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 SAINT SEBASTIAN WAY",
            "address_2": "SUITE 1A",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012643",
            "telephone_number": "706-724-7288",
            "fax_number": "706-724-7394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 SAINT SEBASTIAN WAY",
            "address_2": "SUITE 1A",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012643",
            "telephone_number": "706-724-7288",
            "fax_number": "706-724-7394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC AND RECONSTRUCTIVE SURGERY CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2012-04-16",
        "status": "A",
        "authorized_official_last_name": "DREW",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "STEPHENSON",
        "authorized_official_title_or_position": "OWNER CEO",
        "authorized_official_telephone_number": "706-724-7288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300028217A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole K Pitts, CRNA
• Jessica Pizzuto
• Place at Augusta LLC
• Place at Augusta, LLC
• Alexis Plair, CRNA
• Plastic and Reconstructive Surgery PC
• Thomas Boyne Platt, CPRP
• Miguel Plaza Lloret, MD
• Lauren Eckert Ploch, M.D.
• Kent Milton Plowman, M.D.

• Ambulatory Surgical Clinic/Center in Augusta, GA
• Providers in Augusta, 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 Apr 16, 2012; 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.