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SUMMIT PLASTIC SURGERY
NPI 1215378583
Specialist in Brunswick, GA

Active since July 15, 2013
2310 HERON ST, BRUNSWICK, GA 31520(912) 265-8988(912) 265-0996 Get Directions Write a Review

NPPES record last updated: August 31, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Summit Plastic Surgery NPPES

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

SUMMIT PLASTIC SURGERY (NPI 1215378583) is a healthcare organization registered as a specialist in Brunswick, Georgia and active in the NPI registry since July 2013. The organization lists Paula J Legere, President, as its authorized official.

NPPES Registry Identity

NPI1215378583
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSUMMIT PLASTIC SURGERY
Location Address2310 HERON STBrunswick, GA 31520-4239
Mailing AddressPo Box 520Brunswick, GA 31521-0520 · (912) 265-8988 · Fax (912) 265-0996
Phone(912) 265-8988
Fax(912) 265-0996
Organization SubpartNo
Authorized OfficialPaula J LegerePresident · (912) 265-8988
Enumeration DateJuly 15, 2013
Last NPPES UpdateAugust 31, 2015
✔ NPI 1215378583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in GA · 045871
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.
2310 HERON ST, Brunswick, GA 31520
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Other Identifiers 1

Medicare UPING52571GA

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 ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Summit Plastic Surgery is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Summit Plastic Surgery, which bills Medicare for the services this clinician delivers.

Clinician (1)

Paula Legere, MD
Plastic and Reconstructive Surgery
NPI 1285728295
2310 HERON ST
Brunswick, GA 31520
(912) 265-8988
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Summit Plastic Surgery's NPI number?

The NPI number for Summit Plastic Surgery is 1215378583. It was assigned to this organization in the NPPES registry on July 15, 2013.

Where is Summit Plastic Surgery located?

Summit Plastic Surgery is located at 2310 Heron St, Brunswick, GA 31520. The listed phone number is (912) 265-8988.

What is Summit Plastic Surgery's specialty?

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

Is Summit Plastic Surgery enrolled in Medicare?

Yes. Summit Plastic Surgery is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Summit Plastic Surgery?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Summit Plastic Surgery. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Summit Plastic Surgery accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Summit Plastic Surgery 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 Summit Plastic Surgery was last updated on August 31, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.