Northside Plastic Surgery Associates LLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

NORTHSIDE PLASTIC SURGERY ASSOCIATES LLC

Practice address

11681 Haynes Bridge Rd Ste 200
Alpharetta, GA 30009-2713

Phone

(770) 475-3146

Fax

(678) 215-0688

NPI assigned

May 12, 2025

Last updated

May 12, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kshitij Vipin Majmundar, MD

Title

Owner

Phone

(770) 475-3146

Specialties & licenses 1

Addresses

Locations

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.

• Shreyas Girish Makwana, M.D.

  • Plastic Surgery Physician
  • Alpharetta, GA
  • NPI 1497040265
  NPD
• Leigh Ann O'Neal, CST, FA

  • Surgical Technologist
  • Alpharetta, GA
  • NPI 1366223448
  NPD

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

{
    "created_epoch": "1747008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747008000000",
    "number": "1942090071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11681 HAYNES BRIDGE RD STE 200",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300092713",
            "telephone_number": "770-475-3146",
            "fax_number": "678-215-0688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11681 HAYNES BRIDGE RD STE 200",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300092713",
            "telephone_number": "770-475-3146",
            "fax_number": "678-215-0688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSIDE PLASTIC SURGERY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-12",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A",
        "authorized_official_last_name": "MAJMUNDAR",
        "authorized_official_first_name": "KSHITIJ",
        "authorized_official_middle_name": "VIPIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-475-3146",
        "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": []
}

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• Shelley Northrup, LPC, ED.S, MH.S
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• Northside Primary Care, Inc.
• Northside Psychological Services, Inc.
• Northstar Surgical Assistants
• Novatross
• Nox DME LLC

• Plastic Surgery Physician in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Plastic Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; 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.