MARIETTA PLASTIC SURGERY
NPI 1316165723
Surgery - Plastic and Reconstructive Surgery in Marietta, GA

Active since April 23, 2007
823 CAMPBELL HILL ST NW, MARIETTA, GA 30060(770) 425-0118(770) 426-1626 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Marietta Plastic Surgery NPPES

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

MARIETTA PLASTIC SURGERY (NPI 1316165723) is a healthcare organization registered as a plastic and reconstructive surgery in Marietta, Georgia and active in the NPI registry since April 2007. The organization lists Donna Marie Bockhorst, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1316165723
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameMARIETTA PLASTIC SURGERY
Location Address823 CAMPBELL HILL ST NWMarietta, GA 30060-1144
Mailing Address823 Campbell Hill St NwMarietta, GA 30060-1144 · (770) 425-0118 · Fax (770) 426-1626
Fax(770) 426-1626
Organization SubpartNo
Authorized OfficialDonna Marie BockhorstPractice Administrator · (770) 425-0118
Enumeration DateApril 23, 2007
Last NPPES UpdateJuly 21, 2022
NPI 1316165723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
Definition
A surgeon who specializes in plastic and reconstructive surgery.
823 CAMPBELL HILL ST NW, Marietta, GA 30060

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 11

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

Plastic Surgery
823 CAMPBELL HILL ST NW
MARIETTA, GA 30060
Physician Assistant
823 CAMPBELL HILL ST NW
MARIETTA, GA 30060
Nurse Anesthetist, Certified Registered
823 CAMPBELL HILL ST NW
MARIETTA, GA 30060
Plastic Surgery
823 CAMPBELL HILL ST NW
MARIETTA, GA 30060
Clinic/Center (Ambulatory Surgical)
823 CAMPBELL HILL ST NW
MARIETTA, GA 30060
Plastic Surgery
823 CAMPBELL HILL ST NW
MARIETTA, GA 30060
Plastic Surgery
823 CAMPBELL HILL ST NW
MARIETTA, GA 30060
Surgery (Plastic and Reconstructive Surgery)
823 CAMPBELL HILL ST NW
MARIETTA, GA 30060

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 Marietta Plastic Surgery's NPI number?

The NPI number for Marietta Plastic Surgery is 1316165723. It was assigned to this organization in the NPPES registry on April 23, 2007.

Where is Marietta Plastic Surgery located?

Marietta Plastic Surgery is located at 823 Campbell Hill St NW, Marietta, GA 30060. The listed phone number is (770) 425-0118.

What is Marietta Plastic Surgery's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

When was this NPI record last updated?

The NPPES record for Marietta Plastic Surgery was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.