NPIMap

Organization Active NPI

Premier Plastic Surgery Associates, LLC

  • Plastic and Reconstructive Surgery Physician
  • Decatur, GA
National Provider Identifier
1831360296
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
057460 Issued in GA
Legal business name
PREMIER PLASTIC SURGERY ASSOCIATES, LLC
Practice address
2675 N Decatur Rd
Suite 501
Decatur, GA 30033-6131
Phone
(404) 292-4585
Fax
(404) 292-4588
NPI assigned
Mar 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

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

Authorized official

Name
Dr. Vikisha Fripp, MD
Title
Owner
Phone
(404) 292-4585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X 057460 GA Primary

Addresses

Primary practice location

2675 N Decatur Rd
Suite 501
Decatur, GA 30033-6131

Mailing address

2675 N Decatur Rd
Suite 501
Decatur, GA 30033-6131
Phone (404) 292-4585

National Provider Directory

National Provider Directory

Locations

2675 N Decatur Rd
Ste 501
Decatur, GA 30033
Phone (404) 292-4585

NPI Registry JSON

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1831360296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 N DECATUR RD",
            "address_2": "SUITE 501",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300336131",
            "telephone_number": "404-292-4585",
            "fax_number": "404-292-4588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 N DECATUR RD",
            "address_2": "SUITE 501",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300336131",
            "telephone_number": "404-292-4585",
            "fax_number": "404-292-4588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PLASTIC SURGERY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-13",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "FRIPP",
        "authorized_official_first_name": "VIKISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-292-4585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "GA",
            "license": "057460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; 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.