Organization Active NPI

Astra Plastic Surgery, LLC

Doing business as Atlanta Aesthetics

  • Plastic and Reconstructive Surgery Physician
  • Alpharetta, GA
National Provider Identifier
1992063606
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
67666 Issued in GA
Legal business name
ASTRA PLASTIC SURGERY, LLC
Doing business as
Atlanta Aesthetics
Practice address
3330 Preston Ridge Rd Ste 380
Alpharetta, GA 30005-4596
Phone
(678) 208-6008
NPI assigned
May 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Authorized official

Name
Christopher David Killingsworth, MDNPI 1922212711
Title
Physician/Owner
Phone
(678) 208-6008

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery of the Hand (Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0105X 67666 GA
Plastic and Reconstructive Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0122X 67666 GA Primary

Addresses

Primary practice location

3330 Preston Ridge Rd Ste 380
Alpharetta, GA 30005-4596

Mailing address

3330 Preston Ridge Rd Ste 380
Alpharetta, GA 30005-4596
Phone (678) 208-6008

Other names 1

  • Atlanta Aesthetics Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231229000432 GA Part B Supplier - Clinic/Group Practice 6709042104 Receives reassigned benefits from 2 practitioners
Practice locations: Alpharetta, GA

National Provider Directory

National Provider Directory

Locations

3330 Preston Ridge Rd
Ste 390
Alpharetta, GA 30005
Phone (678) 208-6008

3330 Preston Ridge Rd
Ste 380
Alpharetta, GA 30005
Phone (678) 208-6008

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1335830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743984000000",
    "number": "1992063606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 PRESTON RIDGE RD STE 380",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054596",
            "telephone_number": "678-208-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 PRESTON RIDGE RD STE 380",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054596",
            "telephone_number": "678-208-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASTRA PLASTIC SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-01",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A",
        "authorized_official_last_name": "KILLINGSWORTH",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "678-208-6008",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Surgery of the Hand",
            "state": "GA",
            "license": "67666",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "GA",
            "license": "67666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlanta Aesthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 7, 2025; 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.