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FORMA MEDICAL AESTHETICS
NPI 1114511821
Internal Medicine in Roswell, GA

Active since February 23, 2021
1124 CANTON ST, ROSWELL, GA 30075(770) 568-0092(470) 781-1339 Get Directions Write a Review

NPPES record last updated: February 23, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Forma Medical Aesthetics NPPES

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

FORMA MEDICAL AESTHETICS (NPI 1114511821) is a healthcare organization registered as an internal medicine in Roswell, Georgia and active in the NPI registry since February 2021. The organization lists Clarence Elbert Morgan, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1114511821
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameFORMA MEDICAL AESTHETICS
Location Address1124 CANTON STRoswell, GA 30075-3642
Mailing Address1124 Canton StRoswell, GA 30075-3642 · (770) 568-0092 · Fax (470) 781-1339
Phone(770) 568-0092
Fax(470) 781-1339
Organization SubpartNo
Authorized OfficialClarence Elbert MorganMedical Director · (770) 568-0092
Enumeration DateFebruary 23, 2021
NPPES CertifiedFebruary 23, 2021
✔ NPI 1114511821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1124 CANTON ST, Roswell, GA 30075
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Other Identifiers 1

Other1609939834GA · Individual Npi

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

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 Forma Medical Aesthetics's NPI number?

The NPI number for Forma Medical Aesthetics is 1114511821. It was assigned to this organization in the NPPES registry on February 23, 2021.

Where is Forma Medical Aesthetics located?

Forma Medical Aesthetics is located at 1124 Canton St, Roswell, GA 30075. The listed phone number is (770) 568-0092.

What is Forma Medical Aesthetics's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Forma Medical Aesthetics was last updated on February 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.