Organization Active NPI

The Georgia Center for Facial Plastic Surgery and Laser Aesthetics

  • Clinic/Center
  • Evans, GA
National Provider Identifier
1811167018
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
052694 Issued in GA
Legal business name
THE GEORGIA CENTER FOR FACIAL PLASTIC SURGERY AND LASER AESTHETICS
Practice address
613 Ponder Place Dr
Evans, GA 30809-3187
Phone
(706) 210-2625
Fax
(706) 210-9882
NPI assigned
Mar 4, 2008
Last updated
Mar 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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

Authorized official

Name
Dr. Achih H Chen, M.D.
Title
Physician
Phone
(706) 210-2625

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 052694 GA Primary

Addresses

Primary practice location

613 Ponder Place Dr
Evans, GA 30809-3187

Mailing address

613 Ponder Place Dr
Evans, GA 30809-3187
Phone (706) 210-2625

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D1072966Georgia Center, the613 Ponder Place Drive, Evans, GA 30809Certificate of waiverAug 27, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1811167018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 PONDER PLACE DR",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093187",
            "telephone_number": "706-210-2625",
            "fax_number": "706-210-9882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 PONDER PLACE DR",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093187",
            "telephone_number": "706-210-2625",
            "fax_number": "706-210-9882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GEORGIA CENTER FOR FACIAL PLASTIC SURGERY AND LASER AESTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "ACHIH",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "706-210-2625",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "GA",
            "license": "052694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evans, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.