Individual provider Active NPI

Joseph Raniere,Jr, M.D.

  • Plastic Surgery Physician
  • Fayetteville, GA
National Provider Identifier
1891787586
Registry record updated Aug 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
048705 Issued in GA
Practice address
874 W Lanier Ave
One Prestige Park Suite 100
Fayetteville, GA 30214-1511
Phone
(770) 461-4000
Fax
(770) 461-2790
NPI assigned
Aug 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 048705 GA Primary

Addresses

Primary practice location

874 W Lanier Ave
One Prestige Park Suite 100
Fayetteville, GA 30214-1511

Mailing address

874 W Lanier Ave
One Prestige Park Suite 100
Fayetteville, GA 30214-1511
Phone (770) 461-4000

Other identifiers 1

IdentifierTypeStateIssuer
00874387AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120119000241 GA Practitioner - Plastic and Reconstructive Surgery 0941477731 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Rutgers New Jersey Medical School, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Aesthetics, P.CGroup PAC ID 0840271482, 3 clinicians

Practice addresses (Care Compare)

2084 Newnan Crossing Blvd E
Suite 200
Newnan, GA 30265-2561
Phone (770) 461-4000

874 Lanier Ave W
Suite 100
Fayetteville, GA 30214-7659

Hospital & facility affiliations

  • Piedmont Newnan Hospital, Inc Hospital, Newnan, GA, CCN 110229
  • Piedmont Fayette Hospital Hospital, Fayetteville, GA, CCN 110215

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
048705GAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fayette Plasticsurgery Center LLC Current Accepting new patients
Advanced Aesthetics PC CurrentSince Aug 1, 2000 Accepting new patients
City of Hope Medical Group of Georgia LLC CurrentSince Mar 4, 2014 Accepting new patients
Advanced Aesthetics, P.C Plastic Surgery CurrentSince Aug 1, 2000 Accepting new patients

Locations

874 Lanier Ave W
Ste 100
Fayetteville, GA 30214
Phone (770) 461-4000

600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334

2084 Newnan Crossing Blvd E
Ste 200
Newnan, GA 30265
Phone (770) 461-4000

1000 Hospital Dr
#1018
Stockbridge, GA 30281
Phone (404) 367-3350

62742 Collections Ctr Dr
Chicago, IL 60693

Interoperability endpoints

  • Direct secure messaging: joseph.raniere@westgahealth.gadirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188259200000",
    "number": "1891787586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "874 W LANIER AVE",
            "address_2": "ONE PRESTIGE PARK SUITE 100",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141511",
            "telephone_number": "770-461-4000",
            "fax_number": "770-461-2790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "874 W LANIER AVE",
            "address_2": "ONE PRESTIGE PARK SUITE 100",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141511",
            "telephone_number": "770-461-4000",
            "fax_number": "770-461-2790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANIERE,JR",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2007-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "GA",
            "license": "048705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00874387A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

Verify at the official NPI Registry.