MICROMED LLC
NPI 1104450402
Surgery - Plastic and Reconstructive Surgery in Atlanta, GA

Active since February 25, 2020
1266 W PACES FERRY RD NW STE 231, ATLANTA, GA 30327(917) 991-0319 Get Directions Write a Review

NPPES record last updated: February 25, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Micromed Llc NPPES

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

MICROMED LLC (NPI 1104450402) is a healthcare organization registered as a plastic and reconstructive surgery in Atlanta, Georgia and active in the NPI registry since February 2020. The organization lists Theresa Wang, President, as its authorized official.

NPPES Registry Identity

NPI1104450402
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameMICROMED LLC
Location Address1266 W PACES FERRY RD NW STE 231Atlanta, GA 30327-2306
Mailing Address1266 W Paces Ferry Rd Nw Ste 231Atlanta, GA 30327-2306 · (917) 991-0319
Organization SubpartNo
Authorized OfficialTheresa WangPresident · (917) 991-0319
Enumeration DateFebruary 25, 2020
NPI 1104450402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
Definition
A surgeon who specializes in plastic and reconstructive surgery.
1266 W PACES FERRY RD NW STE 231, Atlanta, GA 30327

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

Surgery (Plastic and Reconstructive Surgery)
1266 W PACES FERRY RD NW STE 231
ATLANTA, GA 30327
Plastic Surgery
1266 W PACES FERRY RD NW STE 231
ATLANTA, GA 30327

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 Micromed LLC's NPI number?

The NPI number for Micromed LLC is 1104450402. It was assigned to this organization in the NPPES registry on February 25, 2020.

Where is Micromed LLC located?

Micromed LLC is located at 1266 W Paces Ferry Rd NW Ste 231, Atlanta, GA 30327. The listed phone number is (917) 991-0319.

What is Micromed LLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

When was this NPI record last updated?

The NPPES record for Micromed LLC was last updated on February 25, 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.