Organization Active NPI

Oculofacial Plastic Surgeons of Georgia, LLC

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Suwanee, GA
National Provider Identifier
1871829192
Registry record updated Oct 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
Legal business name
OCULOFACIAL PLASTIC SURGEONS OF GEORGIA, LLC
Practice address
3890 Johns Creek Pkwy Ste 240
Suwanee, GA 30024-1286
Phone
(770) 604-4141
Fax
(770) 604-4140
NPI assigned
Oct 21, 2009
Last updated
Oct 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2026

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

Authorized official

Name
Suzy Rogers
Title
Practice Administrator
Phone
(770) 604-4141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmic Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207WX0200X Primary

Addresses

Primary practice location

3890 Johns Creek Pkwy Ste 240
Suwanee, GA 30024-1286

Mailing address

3890 Johns Creek Pkwy Ste 245
Suwanee, GA 30024-6697
Phone (770) 604-4141

Other practice location 1

856 1st St
Macon, GA 31201-6875
Phone (770) 604-4141

Other practice location 2

700 Sunset Dr Ste 103
Athens, GA 30606-2287
Phone (770) 604-4141

Other practice location 3

4360 Chamblee Dunwoody Rd Ste 108
Atlanta, GA 30341-1049
Phone (770) 604-4141

Other practice location 4

1429 Oglethorpe St
Macon, GA 31201-1512
Phone (770) 604-4141

Other practice location 5

111 Fieldstone Dr Ste 100
Milledgeville, GA 31061-7108
Phone (770) 604-4141

Other practice location 6

103 Villa Rica Pkwy Ste 203
Villa Rica, GA 30180-3273
Phone (770) 604-4141

Other practice location 7

4159 Mill St NE
Covington, GA 30014-2546
Phone (770) 604-4141

Other practice location 8

201 River Park North Dr
Woodstock, GA 30188-7835
Phone (770) 604-4141

Other practice location 9

440 Taylors Mill Rd
Fort Valley, GA 31030-7415
Phone (770) 604-4141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100201000198 GA Part B Supplier - Clinic/Group Practice 8325181217 Receives reassigned benefits from 3 practitioners
Practice locations: Milledgeville, GA; Woodstock, GA; Warner Robins, GA; Villa Rica, GA; Suwanee, GA; Macon, GA; Fort Valley, GA; Cumming, GA…

National Provider Directory

National Provider Directory

Locations

2472 Jett Ferry Rd
Ste 400
Dunwoody, GA 30338

3890 Johns Creek Pkwy
Ste 245
Suwanee, GA 30024

1747 Langford Dr
Ste 101
Watkinsville, GA 30677
Phone (706) 521-8413

201 River Park North Dr
Woodstock, GA 30188

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1256083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792627200000",
    "number": "1871829192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3890 JOHNS CREEK PKWY STE 245",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246697",
            "telephone_number": "770-604-4141",
            "fax_number": "770-604-4140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3890 JOHNS CREEK PKWY STE 240",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241286",
            "telephone_number": "770-604-4141",
            "fax_number": "770-604-4140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "856 1st St",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312016875",
            "country_code": "US",
            "telephone_number": "770-604-4141",
            "fax_number": "770-604-4140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 Sunset Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "306062287",
            "country_code": "US",
            "telephone_number": "770-604-4141",
            "fax_number": "770-604-4140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4360 Chamblee Dunwoody Rd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303411049",
            "country_code": "US",
            "telephone_number": "770-604-4141",
            "fax_number": "770-604-4140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1429 Oglethorpe St",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312011512",
            "country_code": "US",
            "telephone_number": "770-604-4141",
            "fax_number": "770-604-4140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 Fieldstone Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Milledgeville",
            "state": "GA",
            "postal_code": "310617108",
            "country_code": "US",
            "telephone_number": "770-604-4141",
            "fax_number": "770-604-4140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "103 Villa Rica Pkwy Ste 203",
            "address_purpose": "LOCATION",
            "city": "Villa Rica",
            "state": "GA",
            "postal_code": "301803273",
            "country_code": "US",
            "telephone_number": "770-604-4141",
            "fax_number": "770-604-4140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4159 Mill St NE",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "GA",
            "postal_code": "300142546",
            "country_code": "US",
            "telephone_number": "770-604-4141",
            "fax_number": "770-604-4140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 River Park North Dr",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "GA",
            "postal_code": "301887835",
            "country_code": "US",
            "telephone_number": "770-604-4141",
            "fax_number": "770-604-4140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "440 Taylors Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Valley",
            "state": "GA",
            "postal_code": "310307415",
            "country_code": "US",
            "telephone_number": "770-604-4141",
            "fax_number": "770-604-4140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OCULOFACIAL PLASTIC SURGEONS OF GEORGIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-21",
        "last_updated": "2026-10-22",
        "certification_date": "2026-10-22",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "SUZY",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "770-604-4141"
    },
    "taxonomies": [
        {
            "code": "207WX0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2026; 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.