Plasticity Centers of Georgia, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

PLASTICITY CENTERS OF GEORGIA, LLC

Practice address

200 Cobb Pkwy N Ste 128
Marietta, GA 30062-3538

Phone

(404) 905-6000

NPI assigned

Sep 23, 2022

Organization subpart

No

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

Authorized official

Name

Angel Pope

Title

Manager of Center Support

Phone

(407) 955-4248

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1663891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663891200000",
    "number": "1942923917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "991 SOUTHPARK DR STE 200",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801205689",
            "telephone_number": "407-955-4248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 COBB PKWY N STE 128",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300623538",
            "telephone_number": "404-905-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTICITY CENTERS OF GEORGIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-23",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A",
        "authorized_official_last_name": "POPE",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_title_or_position": "MANAGER OF CENTER SUPPORT",
        "authorized_official_telephone_number": "407-955-4248"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joao MC-Oneil Nicolas Moise Plancher, M.D.
• Planted in Nutrition, LLC
• Cory Plasker, DC
• Eric H Plasker, DC
• Plastic Surgery Center of the South
• Inessa L Plavnik, DMD
• Kayli Elyse Pledger, BCBA
• Michael Poblet
• Merab Anyango Poche, CNA
• Podiatry Group of Georgia, Inc

• Multi-Specialty Clinic/Center in Marietta, GA
• Providers in Marietta, GA by specialty
• Multi-Specialty Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.