North Atlanta Plastic Surgery Group LLC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

Legal business name

NORTH ATLANTA PLASTIC SURGERY GROUP LLC

Doing business as

NAPSG-Alpharetta

Practice address

11975 Morris Rd Ste 220
Alpharetta, GA 30005-4444

Phone

(404) 781-9094

Fax

(770) 733-1511

NPI assigned

May 8, 2020

Organization subpart

Yes

Parent organization

NORTH ATLANTA PLASTIC SURGERY GROUP LLCAs reported in NPPES

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

Authorized official

Name

Kamran Abolmaali, MDNPI 1538489893

Title

Owner

Phone

(404) 781-9094

Specialties & licenses 4

Addresses

Other names 1

• NAPSG-Alpharetta Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• North Atlanta Plastic Surgery Group LLC

  • Plastic and Reconstructive Surgery Physician
  • Johns Creek, GA
  • NPI 1356972848

  O20200320002065

  Same enrollment

Tax ID family

North Atlanta Plastic Surgery Group LLC2 organizations share this tax ID, including this one

Part of

North Atlanta Plastic Surgery Group LLC

Other organizations with this tax ID 1

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

• North Atlanta Plastic Surgery Group LLC

  • Plastic and Reconstructive Surgery Physician
  • Johns Creek, GA
  • NPI 1356972848
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• North Atlanta Plastic Surgery Group LLC

  • Plastic and Reconstructive Surgery Physician
  • Johns Creek, GA
  • NPI 1356972848
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kamran Abolmaali, MD

  • Plastic and Reconstructive Surgery Physician
  • Huntington, WV
  • NPI 1538489893
  NPD Authorized official

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

{
    "created_epoch": "1588896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588896000000",
    "number": "1811519226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11877 DOUGLAS RD # 102-367",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300054325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11975 MORRIS RD STE 220",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054444",
            "telephone_number": "404-781-9094",
            "fax_number": "770-733-1511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1880 W Oak Pkwy Ste 111",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300622274",
            "country_code": "US",
            "telephone_number": "404-781-9750",
            "fax_number": "678-401-4725",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2008 Lawrenceville Suwanee Rd # 300",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "300242625",
            "country_code": "US",
            "telephone_number": "678-417-8651",
            "fax_number": "678-310-2544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTH ATLANTA PLASTIC SURGERY GROUP LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH ATLANTA PLASTIC SURGERY GROUP LLC",
        "enumeration_date": "2020-05-08",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A",
        "authorized_official_last_name": "ABOLMAALI",
        "authorized_official_first_name": "KAMRAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-781-9094",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2082S0099X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NAPSG-Alpharetta",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Plastic and Reconstructive Surgery Physician in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Plastic and Reconstructive Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.