Organization Active NPI

Beaty Facial Plastic Surgery

  • Facial Plastic Surgery Physician
  • Alpharetta, GA
National Provider Identifier
1922721380
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
Legal business name
BEATY FACIAL PLASTIC SURGERY
Practice address
2365 Old Milton Pkwy Ste 400
Alpharetta, GA 30009-2140
Phone
(770) 753-0053
Fax
(404) 228-3515
NPI assigned
Sep 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Authorized official

Name
Dr. Mark M Beaty, MD
Title
Owner
Phone
(404) 374-5513

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YS0123X Primary

Addresses

Primary practice location

2365 Old Milton Pkwy Ste 400
Alpharetta, GA 30009-2140

Mailing address

2365 Old Milton Pkwy Ste 400
Alpharetta, GA 30009-2140
Phone (770) 753-0053

Other practice location 1

1100 Peachtree St NE Ste 850
Atlanta, GA 30309-4861
Phone (770) 753-0053

National Provider Directory

National Provider Directory

Locations

2365 Old Milton Pkwy
Ste 400
Alpharetta, GA 30009
Phone (770) 753-0053

1100 Peachtree St NE
Ste 850
Atlanta, GA 30309
Phone (770) 753-0053

NPI Registry JSON

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663718400000",
    "number": "1922721380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2365 OLD MILTON PKWY STE 400",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300092140",
            "telephone_number": "770-753-0053",
            "fax_number": "404-228-3515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2365 OLD MILTON PKWY STE 400",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300092140",
            "telephone_number": "770-753-0053",
            "fax_number": "404-228-3515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Peachtree St NE Ste 850",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303094861",
            "country_code": "US",
            "telephone_number": "770-753-0053",
            "fax_number": "404-228-3515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BEATY FACIAL PLASTIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-21",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A",
        "authorized_official_last_name": "BEATY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-374-5513",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.