1. Home
  2. Directory
  3. Georgia
  4. Dalton
  5. Plastic Surgery
  6. NPI Profile

DALTON PLASTIC SURGERY
NPI 1356917199
Plastic Surgery in Dalton, GA

Active since June 02, 2021
1501 BROADRICK DR STE 1, DALTON, GA 30720(706) 226-3311(706) 275-8723 Get Directions Write a Review

NPPES record last updated: June 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dalton Plastic Surgery NPPES

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

DALTON PLASTIC SURGERY (NPI 1356917199) is a healthcare organization registered as a plastic surgery in Dalton, Georgia and active in the NPI registry since June 2021. The organization lists Carol Smith, Ins Clerk, as its authorized official.

NPPES Registry Identity

NPI1356917199
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameDALTON PLASTIC SURGERY
Location Address1501 BROADRICK DR STE 1Dalton, GA 30720-3014
Mailing Address1501 Broadrick Dr Ste 1Dalton, GA 30720-3014 · (706) 226-3311 · Fax (706) 275-8723
Phone(706) 226-3311
Fax(706) 275-8723
Organization SubpartYesParent: Dalton Plastic Surgery Center
Authorized OfficialCarol SmithIns Clerk · (706) 226-3311
Enumeration DateJune 2, 2021
NPPES CertifiedJune 2, 2021
✔ NPI 1356917199 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.
1501 BROADRICK DR STE 1, Dalton, GA 30720
Open in Google Maps ↗

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 11D0976586

Dalton Plastic Surgery Center · Dalton, GA
Expired · Aug 8, 2026
CLIA Number11D0976586
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateAugust 9, 2024
Certificate Expiration DateAugust 8, 2026
Laboratory DirectorSherrill R. Reginald
Laboratory Phone(706) 226-3311
Laboratory LocationDalton Plastic Surgery Center1501 Broadrick Drive, Suite #1, Dalton, GA 30720
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

COURTNEY GRIFFIN JOHNSTON PA-C
Physician Assistant (Surgical)
1501 BROADRICK DR STE 1
DALTON, GA 30720
Whitfield County (706) 226-3311

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 Dalton Plastic Surgery's NPI number?

The NPI number for Dalton Plastic Surgery is 1356917199. It was assigned to this organization in the NPPES registry on June 2, 2021.

Where is Dalton Plastic Surgery located?

Dalton Plastic Surgery is located at 1501 Broadrick Dr Ste 1, Dalton, GA 30720. The listed phone number is (706) 226-3311.

What is Dalton Plastic Surgery's specialty?

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

When was this NPI record last updated?

The NPPES record for Dalton Plastic Surgery was last updated on June 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.