Organization Active NPI

Atlanta Center for Breast & Aesthetic Surgery

  • Plastic and Reconstructive Surgery Physician
  • Atlanta, GA
National Provider Identifier
1881990083
Registry record updated Feb 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
Legal business name
ATLANTA CENTER FOR BREAST & AESTHETIC SURGERY
Practice address
1 Baltimore PL NW
Suite 400
Atlanta, GA 30308-2116
Phone
(404) 885-9675
Fax
(404) 875-4017
NPI assigned
Feb 4, 2011
Last updated
Feb 4, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2011

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

Authorized official

Name
Dr. Fredrick Taylor Work, MD
Title
Medical Director
Phone
(404) 885-9675

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X NU Primary

Addresses

Primary practice location

1 Baltimore PL NW
Suite 400
Atlanta, GA 30308-2116

Mailing address

595 Piedmont Ave NE
Suite 320-359
Atlanta, GA 30308-2478
Phone (404) 885-9675

National Provider Directory

National Provider Directory

Locations

570 Piedmont Ave NE
Unit 54477
Atlanta, GA 30308

Practitioners & affiliated clinicians

Practitioners 2

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": "1296777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296777600000",
    "number": "1881990083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 PIEDMONT AVE NE",
            "address_2": "SUITE 320-359",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082478",
            "telephone_number": "404-885-9675",
            "fax_number": "404-875-4017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BALTIMORE PL NW",
            "address_2": "SUITE 400",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082116",
            "telephone_number": "404-885-9675",
            "fax_number": "404-875-4017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA CENTER FOR BREAST & AESTHETIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-04",
        "last_updated": "2011-02-04",
        "status": "A",
        "authorized_official_last_name": "WORK",
        "authorized_official_first_name": "FREDRICK",
        "authorized_official_middle_name": "TAYLOR",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "404-885-9675",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2011; 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.