Pinnacle Plastic Surgery Associates LLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

PINNACLE PLASTIC SURGERY ASSOCIATES LLC

Practice address

813 Towne Park Drive
Suite 100
Rincon, GA 31326

Phone

(843) 815-6699

Fax

(843) 815-6695

NPI assigned

Oct 7, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Audrey Klenke, M.D

Title

Owner

Phone

(843) 815-6699

Specialties & licenses 2

Addresses

Tax ID family

Pinnacle Plastic Surgery Associates LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pinnacle Plastic Surgery Associates LLC

  • Plastic Surgery Physician
  • Rincon, GA
  • NPI 1356214696
  NPD tax ID

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

{
    "created_epoch": "1759795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759795200000",
    "number": "1801761291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 MALLETT WAY",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299106064",
            "telephone_number": "843-815-6699",
            "fax_number": "843-815-6695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 TOWNE PARK DRIVE",
            "address_2": "SUITE 100",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "31326",
            "telephone_number": "843-815-6699",
            "fax_number": "843-815-6695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE PLASTIC SURGERY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-07",
        "last_updated": "2025-10-07",
        "certification_date": "2025-09-22",
        "status": "A",
        "authorized_official_last_name": "KLENKE",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-815-6699",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Wilson Paul
• Matt J Perala, MD
• Christie Lynn Phillips-Fearis, APRN
• Alexandra Jane Phillips, BCABA
• Pinnacle Plastic Surgery Associates LLC
• Jordan Smith Piros, PTA
• Lucas J Policastro, MD
• Kaiya Powell
• Reagan Reese Powell, LPC, NCC
• Melody A Presson

• Plastic Surgery Physician in Rincon, GA
• Providers in Rincon, GA by specialty
• Plastic Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; 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.