Active NPI
Aesthetic Plastic Surgery PC
- Plastic Surgery Physician
- Rome, GA
National Provider Identifier
1801187802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- Legal business name
- AESTHETIC PLASTIC SURGERY PC
- Practice address
- 506 Riverside Pkwy NE Ste 200
Rome, GA 30161-2902 - Phone
- (706) 291-0200
- Fax
- (706) 291-0248
- NPI assigned
- Apr 25, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Harry Eugene Dawson Jr., M.D.
- Title
- Owner/President
- Phone
- (706) 291-0200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | Primary |
Addresses
Primary practice location
506 Riverside Pkwy NE Ste 200
Rome, GA 30161-2902
Mailing address
506 Riverside Pkwy NE Ste 200
Rome, GA 30161-2902
Phone (706) 291-0200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000194048B | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
506 Riverside Pkwy NE
Rome, GA 30161
Phone (706) 291-0200
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/26b29267-7a91-4754-a0ab-557e7e4d37f2/
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303689600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1303689600000",
"number": "1801187802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "506 RIVERSIDE PKWY NE STE 200",
"city": "ROME",
"state": "GA",
"postal_code": "301612902",
"telephone_number": "706-291-0200",
"fax_number": "706-291-0248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 RIVERSIDE PKWY NE STE 200",
"city": "ROME",
"state": "GA",
"postal_code": "301612902",
"telephone_number": "706-291-0200",
"fax_number": "706-291-0248"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AESTHETIC PLASTIC SURGERY PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-04-25",
"last_updated": "2011-04-25",
"status": "A",
"authorized_official_last_name": "DAWSON",
"authorized_official_first_name": "HARRY",
"authorized_official_middle_name": "EUGENE",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "706-291-0200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000194048B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rome, GA
- Adventhealth Primary Care Plus of Georgia
- Adventist Health System Sunbelt, Inc
- Adventist Health System/Sunbelt, Inc.
- Adventist Health Systems Georgia, Inc
- Adventist Health Systems Georgia, Inc
- Affordable Health Care, LLC
- Sara Afridi, DO
- Karen Glover Agbonghae, MSOTR/L
- Elvira Aguilar, OTR/L
- Jawaid Ahsan, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.