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PLASTIC SURGERY OF GWINNETT PC
NPI 1386995470
Specialist in Lawrenceville, GA

Active since September 28, 2012
575 PROFESSIONAL DR STE 285, LAWRENCEVILLE, GA 30046(770) 682-3375(770) 682-3387 Get Directions Write a Review

NPPES record last updated: January 30, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Plastic Surgery Of Gwinnett Pc NPPES

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

PLASTIC SURGERY OF GWINNETT PC (NPI 1386995470) is a healthcare organization registered as a specialist in Lawrenceville, Georgia and active in the NPI registry since September 2012. The organization lists Alvin I Rosenthal, President, as its authorized official.

NPPES Registry Identity

NPI1386995470
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePLASTIC SURGERY OF GWINNETT PC
Location Address575 PROFESSIONAL DR STE 285Lawrenceville, GA 30046-3355
Mailing Address575 Professional Dr Ste 285Lawrenceville, GA 30046-3355 · (770) 682-3375 · Fax (770) 682-3387
Phone(770) 682-3375
Fax(770) 682-3387
Organization SubpartNo
Authorized OfficialAlvin I RosenthalPresident · (770) 682-3375
Enumeration DateSeptember 28, 2012
Last NPPES UpdateJanuary 30, 2024
NPPES CertifiedJanuary 30, 2024
✔ NPI 1386995470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in GA · 039926
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.
575 PROFESSIONAL DR STE 285, Lawrenceville, GA 30046
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Other Identifiers 1

Other40BBBBDPtan

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)

Plastic Surgery Of Gwinnett 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 Plastic Surgery Of Gwinnett PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Alvin Rosenthal, M.D.
Plastic and Reconstructive Surgery
NPI 1134154016
575 PROFESSIONAL DR STE 285
Lawrenceville, GA 30046
(770) 682-3375
✔ 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 Plastic Surgery Of Gwinnett PC's NPI number?

The NPI number for Plastic Surgery Of Gwinnett PC is 1386995470. It was assigned to this organization in the NPPES registry on September 28, 2012.

Where is Plastic Surgery Of Gwinnett PC located?

Plastic Surgery Of Gwinnett PC is located at 575 Professional Dr Ste 285, Lawrenceville, GA 30046. The listed phone number is (770) 682-3375.

What is Plastic Surgery Of Gwinnett PC's specialty?

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

Is Plastic Surgery Of Gwinnett PC enrolled in Medicare?

Yes. Plastic Surgery Of Gwinnett PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Plastic Surgery Of Gwinnett PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Plastic Surgery Of Gwinnett 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.

What insurance does Plastic Surgery Of Gwinnett PC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Plastic Surgery Of Gwinnett PC 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 Plastic Surgery Of Gwinnett PC was last updated on January 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.