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ADVANCED AESTHETICS, P.C
NPI 1144212846
Plastic Surgery in Fayetteville, GA

Active since August 18, 2005CLIA 11D1056969 · Waiver
874 W LANIER AVE, ONE PRESTIGE PARK SUITE 100, FAYETTEVILLE, GA 30214(770) 461-4000(770) 461-2790 Get Directions Write a Review

NPPES record last updated: August 28, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Advanced Aesthetics, P.c NPPES

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

ADVANCED AESTHETICS, P.C (NPI 1144212846) is a healthcare organization registered as a plastic surgery in Fayetteville, Georgia and active in the NPI registry since August 2005. The organization holds a CLIA Waiver certificate valid through July 30, 2026 and lists Mary E Snow, Precertification Coordinator, as its authorized official.

NPPES Registry Identity

NPI1144212846
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameADVANCED AESTHETICS, P.C
Location Address874 W LANIER AVE, ONE PRESTIGE PARK SUITE 100Fayetteville, GA 30214-1511
Mailing Address874 W Lanier Ave, One Prestige Park Suite 100Fayetteville, GA 30214-1511 · (770) 461-4000 · Fax (770) 461-2790
Phone(770) 461-4000
Fax(770) 461-2790
Organization SubpartNo
Authorized OfficialMary E SnowPrecertification Coordinator · (678) 883-1405
Enumeration DateAugust 18, 2005
Last NPPES UpdateAugust 28, 2007
✔ NPI 1144212846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

874 W LANIER AVE, Fayetteville, GA 30214
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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 11D1056969

Advanced Aesthetics · Fayetteville, GA
Active · expires Jul 30, 2026
CLIA Number11D1056969
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJuly 31, 2024
Certificate Expiration DateJuly 30, 2026
Laboratory DirectorJoseph Rainer Jr
Laboratory Phone(770) 461-4000
Laboratory LocationAdvanced Aesthetics874 Lanier Ave W Suite 100, Fayetteville, GA 30214
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

DR. EDWARD SCOTT GRONKA M.D.
Plastic Surgery
874 W LANIER AVE, ONE PRESTIGE PARK SUITE 100
FAYETTEVILLE, GA 30214
Fayette County (770) 461-4000
DR. JOSEPH RANIERE,JR M.D.
Plastic Surgery
874 W LANIER AVE, ONE PRESTIGE PARK SUITE 100
FAYETTEVILLE, GA 30214
Fayette County (770) 461-4000
ADVANCED AESTHETICS PC
Clinic/Center (Ambulatory Surgical)
874 W LANIER AVE, STE 110
FAYETTEVILLE, GA 30214
Fayette County (770) 461-4000
DR. PAUL DAVID FELDMAN M.D.
Plastic Surgery
874 W LANIER AVE, SUITE 100
FAYETTEVILLE, GA 30214
Fayette County (770) 461-4000

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 Advanced Aesthetics, P.C's NPI number?

The NPI number for Advanced Aesthetics, P.C is 1144212846. It was assigned to this organization in the NPPES registry on August 18, 2005.

Where is Advanced Aesthetics, P.C located?

Advanced Aesthetics, P.C is located at 874 W Lanier Ave One Prestige Park Suite 100, Fayetteville, GA 30214. The listed phone number is (770) 461-4000.

What is Advanced Aesthetics, P.C's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Does Advanced Aesthetics, P.C hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1056969) is associated with this NPI, valid through July 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Advanced Aesthetics, P.C accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Advanced Aesthetics, P.C 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 Advanced Aesthetics, P.C was last updated on August 28, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.