Organization Active NPI

Aesthetic Plastic Surgery PC

  • Plastic Surgery Physician
  • Rome, GA
National Provider Identifier
1801187802
Registry record updated Apr 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
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

Updated by the provider on Apr 25, 2011

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)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
000194048BMedicaidGA

National Provider Directory

National Provider Directory

Locations

506 Riverside Pkwy NE
Rome, GA 30161
Phone (706) 291-0200

Interoperability endpoints

  • FHIR API: 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

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.

Verify at the official NPI Registry.