Active NPI
The Georgia Center for Facial Plastic Surgery and Laser Aesthetics
- Clinic/Center
- Evans, GA
National Provider Identifier
1811167018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 052694
- 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, 2008
- 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. Achih H Chen, M.D.
- Title
- Physician
- Phone
- (706) 210-2625
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D1072966 | Georgia Center, the | Certificate of waiver | Aug 27, 2027 |
National Provider Directory
National Provider DirectoryNPI 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
- Marianne Tennant
- Paul M Thaxton, M.D.
- The Center for Pain Management, LLC
- The Georgia Center for Body Plastic Surgery
- The Georgia Center for Dermatology and Skin Cancer Specialists
- The Kroger Co (Kroger Pharmacy)
- The Legacy Dental Group, LLC
- The Nexus Pain Center of Augusta LLC
- The Pediatric Office, LLC
- The Therapy Loft, LLC
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.