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AESTHETIC CENTER FOR BREAST AND COSMETIC SURGERY, PA
NPI 1174906648
Plastic Surgery in Greenville, SC

Active since July 02, 2015CLIA 42D1025349 · Waiver
615 HALTON RD, GREENVILLE, SC 29607(864) 676-1707(864) 676-9256 Get Directions Write a Review

NPPES record last updated: July 2, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Aesthetic Center For Breast And Cosmetic Surgery, Pa NPPES

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

AESTHETIC CENTER FOR BREAST AND COSMETIC SURGERY, PA (NPI 1174906648) is a healthcare organization registered as a plastic surgery in Greenville, South Carolina and active in the NPI registry since July 2015. The organization holds a CLIA Waiver certificate valid through May 4, 2028 and lists Sutton Lewis Graham, Owner, as its authorized official.

NPPES Registry Identity

NPI1174906648
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameAESTHETIC CENTER FOR BREAST AND COSMETIC SURGERY, PA
Location Address615 HALTON RDGreenville, SC 29607-3403
Mailing Address615 Halton RdGreenville, SC 29607-3403 · (864) 676-1707 · Fax (864) 676-9256
Phone(864) 676-1707
Fax(864) 676-9256
Organization SubpartNo
Authorized OfficialSutton Lewis GrahamOwner · (864) 676-1707
Enumeration DateJuly 2, 2015
✔ NPI 1174906648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in SC · 11893
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.
615 HALTON RD, Greenville, SC 29607
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Other Identifiers 1

MedicaidGP0192SC

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

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 42D1025349

Aesthetic Center For Breast And Cosmetic Surgery · Greenville, SC
Active · expires May 4, 2028
CLIA Number42D1025349
Laboratory TypePhysician Office
Certificate Effective DateMay 5, 2026
Certificate Expiration DateMay 4, 2028
Laboratory DirectorSutton L. Graham II, MD
Laboratory Phone(864) 676-1707
Laboratory LocationAesthetic Center For Breast And Cosmetic Surgery615 Halton Road, Greenville, SC 29607
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 5

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

JANICE SASSER FNP BC
Nurse Practitioner (Family)
615 HALTON RD, SUITE 100
GREENVILLE, SC 29607
Greenville County (864) 676-1707
ALLISON J BISHOP MSN, FNP-BC, APRN
Plastic Surgery
615 HALTON RD
GREENVILLE, SC 29607
Greenville County (864) 676-1707
STEPHANIE SMITH
Registered Nurse
615 HALTON RD
GREENVILLE, SC 29607
Greenville County (864) 676-1707
MRS. SARA SHAPRE CHRISTIE FNP-C
Nurse Practitioner (Family)
615 HALTON RD, SUITE 100
GREENVILLE, SC 29607
Greenville County (864) 676-1707
DR. SUTTON L GRAHAM II MD
Plastic Surgery
615 HALTON RD, SUITE 100
GREENVILLE, SC 29607
Greenville County (864) 676-1707

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 Aesthetic Center For Breast And Cosmetic Surgery, PA's NPI number?

The NPI number for Aesthetic Center For Breast And Cosmetic Surgery, PA is 1174906648. It was assigned to this organization in the NPPES registry on July 2, 2015.

Where is Aesthetic Center For Breast And Cosmetic Surgery, PA located?

Aesthetic Center For Breast And Cosmetic Surgery, PA is located at 615 Halton Rd, Greenville, SC 29607. The listed phone number is (864) 676-1707.

What is Aesthetic Center For Breast And Cosmetic Surgery, PA's specialty?

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

Does Aesthetic Center For Breast And Cosmetic Surgery, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D1025349) is associated with this NPI, valid through May 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Aesthetic Center For Breast And Cosmetic Surgery, PA was last updated on July 2, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.