NPIMap

Organization Active NPI

Hagopian Plastic Surgery, P.C.

  • Plastic Surgery Physician
  • Atlanta, GA
National Provider Identifier
1902517337
Registry record updated Apr 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
HAGOPIAN PLASTIC SURGERY, P.C.
Practice address
99 Krog St NE Unit C110
Atlanta, GA 30307-2677
Phone
(404) 885-8542
Fax
(404) 885-8547
NPI assigned
Dec 6, 2022
Last updated
Apr 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2023

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

Authorized official

Name
Dr. Thomas Martin Hagopian, MDNPI 1023484037
Title
Ceo
Phone
(561) 723-4647

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

99 Krog St NE Unit C110
Atlanta, GA 30307-2677

Mailing address

99 Krog St NE Unit C110
Atlanta, GA 30307-2677

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230512001541 GA Part B Supplier - Clinic/Group Practice 2365808557 Receives reassigned benefits from 3 practitioners
Practice locations: Atlanta, GA

National Provider Directory

National Provider Directory

Locations

112 Krog St NE
Unit C110
Atlanta, GA 30307

99 Krog St NE
Atlanta, GA 30307

99 Krog St NE
Ste C110
Atlanta, GA 30307
Phone (404) 885-8542

99 Krog St NE
Unit C110
Atlanta, GA 30307
Phone (404) 885-8542

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": "1670284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680825600000",
    "number": "1902517337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 KROG ST NE UNIT C110",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303072677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 KROG ST NE UNIT C110",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303072677",
            "telephone_number": "404-885-8542",
            "fax_number": "404-885-8547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAGOPIAN PLASTIC SURGERY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-06",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-07",
        "status": "A",
        "authorized_official_last_name": "HAGOPIAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-723-4647",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "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 Apr 7, 2023; 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.