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TUXEDO AESTHETIC SURGERY CENTER
NPI 1205008489
Specialist in Atlanta, GA

Active since March 28, 2008
3833 ROSWELL RD NE, SUITE #116, ATLANTA, GA 30342(404) 812-0211(404) 812-9011 Get Directions Write a Review

NPPES record last updated: July 1, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tuxedo Aesthetic Surgery Center NPPES

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

TUXEDO AESTHETIC SURGERY CENTER (NPI 1205008489) is a healthcare organization registered as a specialist in Atlanta, Georgia and active in the NPI registry since March 2008. The organization lists Richard Crawford Mattison, Owner, as its authorized official.

NPPES Registry Identity

NPI1205008489
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameRICHARD MATTISON, MD LLC
Location Address3833 ROSWELL RD NE, SUITE #116Atlanta, GA 30342-4432
Mailing Address3833 Roswell Rd Ne, Suite #116Atlanta, GA 30342-4432 · (404) 812-0211 · Fax (404) 812-9011
Phone(404) 812-0211
Fax(404) 812-9011
Organization SubpartNo
Authorized OfficialRichard Crawford MattisonOwner · (404) 812-0211
Enumeration DateMarch 28, 2008
Last NPPES UpdateJuly 1, 2008
✔ NPI 1205008489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in GA · 011627
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3833 ROSWELL RD NE, Atlanta, GA 30342
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Other Names 1

Doing Business AsTuxedo Aesthetic Surgery Center

Other Identifiers 1

Medicare UPIN011627GA

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 5

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

JACQUELINE CURRY RAMIREZ LPC, CACII
Counselor (Addiction (Substance Use Disorder))
3833 ROSWELL RD NE
ATLANTA, GA 30342
Fulton County (404) 372-7808
MR. DAVID HATCH MS, LPC, LMFT
Counselor (Mental Health)
3833 ROSWELL RD NE, SUITE 107
ATLANTA, GA 30342
Fulton County (404) 680-4840
DR. KENDRA DAWN DERRICK DDS
Dentist (General Practice)
3833 ROSWELL RD NE, SUITE 100
ATLANTA, GA 30342
Fulton County (404) 261-6794
DR. PAUL JEFFREY KURTZ DDS
Dentist (General Practice)
3833 ROSWELL RD NE, SUITE 100
ATLANTA, GA 30342
Fulton County (404) 261-6794
CAPITAL DENTAL ASSOCIATES
Dentist (General Practice)
3833 ROSWELL RD NE, SUITE 100
ATLANTA, GA 30342
Fulton County (404) 261-6794

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 Richard Mattison, MD LLC's NPI number?

The NPI number for Richard Mattison, MD LLC is 1205008489. It was assigned to this organization in the NPPES registry on March 28, 2008. The provider is doing business as Tuxedo Aesthetic Surgery Center.

Where is Richard Mattison, MD LLC located?

Richard Mattison, MD LLC is located at 3833 Roswell Rd NE Suite #116, Atlanta, GA 30342. The listed phone number is (404) 812-0211.

What is Richard Mattison, MD LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Richard Mattison, MD LLC was last updated on July 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.