JC PLASTIC SURGERY OF ATLANTA, LLC
NPI 1114387040
Surgery - Plastic and Reconstructive Surgery in Atlanta, GA

Active since March 04, 2016
5505 PEACHTREE DUNWOODY RD, SUITE 220, ATLANTA, GA 30342(404) 312-3878(404) 829-1312 Get Directions Write a Review

NPPES record last updated: March 4, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jc Plastic Surgery Of Atlanta, Llc NPPES

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

JC PLASTIC SURGERY OF ATLANTA, LLC (NPI 1114387040) is a healthcare organization registered as a plastic and reconstructive surgery in Atlanta, Georgia and active in the NPI registry since March 2016. The organization lists Yeon-jeen Chang, President, as its authorized official.

NPPES Registry Identity

NPI1114387040
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameJC PLASTIC SURGERY OF ATLANTA, LLC
Location Address5505 PEACHTREE DUNWOODY RD, SUITE 220Atlanta, GA 30342-1705
Mailing Address5505 Peachtree Dunwoody Rd, Suite 220Atlanta, GA 30342-1705 · (404) 312-3878 · Fax (404) 829-1312
Fax(404) 829-1312
Organization SubpartNo
Authorized OfficialYeon-jeen ChangPresident · (404) 312-3878
Enumeration DateMarch 4, 2016
NPI 1114387040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License Licensed in GA · 63841
Definition
A surgeon who specializes in plastic and reconstructive surgery.
5505 PEACHTREE DUNWOODY RD, Atlanta, GA 30342

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 18

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

Ophthalmology
5505 PEACHTREE DUNWOODY RD, STE 640
ATLANTA, GA 30342
Occupational Therapy Assistant
5505 PEACHTREE DUNWOODY RD, SUITE 250
ATLANTA, GA 30342
Pharmacy
5505 PEACHTREE DUNWOODY RD, SUITE 600-MOD E
ATLANTA, GA 30342
Ophthalmology
5505 PEACHTREE DUNWOODY RD, STE 300
ATLANTA, GA 30342
Specialist/Technologist, Other (Surgical Technologist)
5505 PEACHTREE DUNWOODY RD
ATLANTA, GA 30342
Dental Assistant
5505 PEACHTREE DUNWOODY RD, STE 470
ATLANTA, GA 30342
Registered Nurse (Case Management)
5505 PEACHTREE DUNWOODY RD
ATLANTA, GA 30342
Optometrist
5505 PEACHTREE DUNWOODY RD, SUITE 300
ATLANTA, GA 30342

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 Jc Plastic Surgery Of Atlanta, LLC's NPI number?

The NPI number for Jc Plastic Surgery Of Atlanta, LLC is 1114387040. It was assigned to this organization in the NPPES registry on March 4, 2016.

Where is Jc Plastic Surgery Of Atlanta, LLC located?

Jc Plastic Surgery Of Atlanta, LLC is located at 5505 Peachtree Dunwoody Rd Suite 220, Atlanta, GA 30342. The listed phone number is (404) 312-3878.

What is Jc Plastic Surgery Of Atlanta, 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 Jc Plastic Surgery Of Atlanta, LLC was last updated on March 4, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.