1. Home
  2. Directory
  3. Georgia
  4. Martinez
  5. Clinic Center
  6. NPI Profile

AUGUSTA PLASTIC SURGERY CENTER, INC.
NPI 1013990308
Clinic/Center - Ambulatory Surgical in Martinez, GA

Active since November 21, 2005CLIA 11D2004718 · Waiver
569 FURYS FERRY RD, MARTINEZ, GA 30907(706) 724-5611(706) 724-5435 Get Directions Write a Review

NPPES record last updated: July 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 22, 2020, Oct 3, 2018 (2 updates tracked since 2018).

About Augusta Plastic Surgery Center, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AUGUSTA PLASTIC SURGERY CENTER, INC. (NPI 1013990308) is a healthcare organization registered as an ambulatory surgical in Martinez, Georgia and active in the NPI registry since November 2005. The organization holds a CLIA Waiver certificate valid through March 10, 2028 and lists Charon P Bartley, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1013990308
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameAUGUSTA PLASTIC SURGERY CENTER, INC.
Location Address569 FURYS FERRY RDMartinez, GA 30907-9059
Mailing Address569 Furys Ferry RdMartinez, GA 30907-9059 · (706) 724-5611 · Fax (706) 724-5435
Phone(706) 724-5611
Fax(706) 724-5435
Organization SubpartNo
Authorized OfficialCharon P BartleyBilling Manager · (706) 724-5611
Enumeration DateNovember 21, 2005
Last NPPES UpdateJuly 22, 20202 updates tracked since enumeration
NPPES CertifiedJuly 22, 2020
✔ NPI 1013990308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in GA · 121-114
569 FURYS FERRY RD, Martinez, GA 30907
Open in Google Maps ↗

Other Identifiers 2

MedicaidASC009SC
Medicaid000728472AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2004718

Augusta Plastic Surgery Center, Inc · Martinez, GA
Active · expires Mar 10, 2028
CLIA Number11D2004718
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMarch 11, 2026
Certificate Expiration DateMarch 10, 2028
Laboratory DirectorMr. Christopher J. Ewart
Laboratory Phone(706) 724-5611
Laboratory LocationAugusta Plastic Surgery Center, Inc569 Furys Ferry Road, Martinez, GA 30907
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHAEL SHUKRI TARAKJI M.D.
Surgery
569 FURYS FERRY RD
MARTINEZ, GA 30907
Columbia County (706) 724-5611
AUGUSTA PLASTIC SURGERY ASSOCIATES
Plastic Surgery
569 FURYS FERRY RD
MARTINEZ, GA 30907
Columbia County (706) 724-5611

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Augusta Plastic Surgery Center, Inc.'s NPI number?

The NPI number for Augusta Plastic Surgery Center, Inc. is 1013990308. It was assigned to this organization in the NPPES registry on November 21, 2005.

Where is Augusta Plastic Surgery Center, Inc. located?

Augusta Plastic Surgery Center, Inc. is located at 569 Furys Ferry Rd, Martinez, GA 30907. The listed phone number is (706) 724-5611.

What is Augusta Plastic Surgery Center, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Augusta Plastic Surgery Center, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2004718) is associated with this NPI, valid through March 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Augusta Plastic Surgery Center, Inc. accept?

Health plans from Alliant Health Plans, Inc. list Augusta Plastic Surgery Center, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Augusta Plastic Surgery Center, Inc. was last updated on July 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.