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POOLER PLASTIC SURGERY LLC
NPI 1194284299
Plastic Surgery in Pooler, GA

Active since March 18, 2019CLIA 11D2282943 · Waiver
1000 TOWNE CENTER BLVD STE 506, POOLER, GA 31322(912) 988-1781(912) 777-7591 Get Directions Write a Review

NPPES record last updated: March 18, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pooler Plastic Surgery Llc NPPES

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

POOLER PLASTIC SURGERY LLC (NPI 1194284299) is a healthcare organization registered as a plastic surgery in Pooler, Georgia and active in the NPI registry since March 2019. The organization holds a CLIA Waiver certificate valid through May 29, 2027 and lists Francis C Pettigrew, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1194284299
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NamePOOLER PLASTIC SURGERY LLC
Location Address1000 TOWNE CENTER BLVD STE 506Pooler, GA 31322-4068
Mailing Address1000 Towne Center Blvd Ste 501Pooler, GA 31322-4061 · (912) 988-1781 · Fax (912) 777-7591
Phone(912) 988-1781
Fax(912) 777-7591
Organization SubpartNo
Authorized OfficialFrancis C PettigrewOwner/physician · (912) 988-1781
Enumeration DateMarch 18, 2019
✔ NPI 1194284299 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.
1000 TOWNE CENTER BLVD STE 506, Pooler, GA 31322
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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

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 11D2282943

Pooler Plastic Surgery LLC · Pooler, GA
Active · expires May 29, 2027
CLIA Number11D2282943
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMay 30, 2025
Certificate Expiration DateMay 29, 2027
Laboratory DirectorFrancis C. Pettigrew
Laboratory Phone(912) 988-1781
Laboratory LocationPooler Plastic Surgery LLC1000 Towne Center Boulevard, Cuite 506, Pooler, GA 31322
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Pooler Plastic Surgery LLC's NPI number?

The NPI number for Pooler Plastic Surgery LLC is 1194284299. It was assigned to this organization in the NPPES registry on March 18, 2019.

Where is Pooler Plastic Surgery LLC located?

Pooler Plastic Surgery LLC is located at 1000 Towne Center Blvd Ste 506, Pooler, GA 31322. The listed phone number is (912) 988-1781.

What is Pooler Plastic Surgery LLC's specialty?

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

Does Pooler Plastic Surgery LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2282943) is associated with this NPI, valid through May 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pooler Plastic Surgery LLC was last updated on March 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.