Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

IMED SURGICAL OF ATLANTA PC
NPI 1215587670
Surgery in Roswell, GA

Active since September 18, 2019
11050 CRABAPPLE RD STE 105B, ROSWELL, GA 30075(404) 480-4886(917) 791-9672 Get Directions Write a Review

NPPES record last updated: October 7, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 7, 2026, Sep 18, 2025, Sep 18, 2019 (3 updates tracked since 2019).

About Imed Surgical Of Atlanta Pc NPPES

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

IMED SURGICAL OF ATLANTA PC (NPI 1215587670), doing business as Doctor Keloid Scar And Cosmetic Center Of Georgia, is a healthcare organization registered as a surgery in Roswell, Georgia and active in the NPI registry since September 2019. The organization lists Jennifer R Myers, Clinical Compliance Manager, as its authorized official.

NPPES Registry Identity

NPI1215587670
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameIMED SURGICAL OF ATLANTA PC
Location Address11050 CRABAPPLE RD STE 105BRoswell, GA 30075-2456
Mailing AddressPo Box 1970New York, NY 10156-1970 · (212) 223-0716 · Fax (917) 791-9672
Fax(917) 791-9672
Organization SubpartNo
Authorized OfficialJennifer R MyersClinical Compliance Manager · (212) 223-0716
Enumeration DateSeptember 18, 2019
Last NPPES UpdateOctober 7, 20263 updates tracked since enumeration
NPPES CertifiedOctober 7, 2026
✔ NPI 1215587670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
11050 CRABAPPLE RD STE 105B, Roswell, GA 30075

Other Names 1

Doing Business AsDoctor Keloid Scar And Cosmetic Center Of Georgia

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Imed Surgical Of Atlanta Pc 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 Imed Surgical Of Atlanta PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ophthalmology
NPI 1053364166
5505 PEACHTREE DUNWOODY RD STE 640
Atlanta, GA 30342
(404) 256-1500
✔ PECOS✔ Accepts Medicare10 mi

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 Imed Surgical Of Atlanta PC's NPI number?

The NPI number for Imed Surgical Of Atlanta PC is 1215587670. It was assigned to this organization in the NPPES registry on September 18, 2019. The provider is doing business as Doctor Keloid Scar And Cosmetic Center Of Georgia.

Where is Imed Surgical Of Atlanta PC located?

Imed Surgical Of Atlanta PC is located at 11050 Crabapple Rd Ste 105B, Roswell, GA 30075. The listed phone number is (404) 480-4886.

What is Imed Surgical Of Atlanta PC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Imed Surgical Of Atlanta PC enrolled in Medicare?

Yes. Imed Surgical Of Atlanta PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Imed Surgical Of Atlanta PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to Imed Surgical Of Atlanta PC. 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.

When was this NPI record last updated?

The NPPES record for Imed Surgical Of Atlanta PC was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days 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.