BUCKHEAD PLASTIC SURGERY
NPI 1427368315
Plastic Surgery in Atlanta, GA

Q: What is Buckhead Plastic Surgery's NPI number?

The NPI number for Buckhead Plastic Surgery is 1427368315. It was assigned to this organization in the NPPES registry on October 14, 2010.

Q: What is Buckhead Plastic Surgery's specialty?

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

Active since October 14, 2010

4684 ROSWELL RD, SUITE B, ATLANTA, GA 30342(404) 367-9005(678) 240-4188 Get Directions Write a Review

NPPES record last updated: August 25, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Buckhead Plastic Surgery NPPES

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

BUCKHEAD PLASTIC SURGERY (NPI 1427368315) is a healthcare organization registered as a plastic surgery in Atlanta, Georgia and active in the NPI registry since October 2010. The organization lists Alan Norman Larsen, President, as its authorized official.

NPPES Registry Identity

NPI1427368315

Entity TypeOrganization

Primary Taxonomy208200000X

Legal Business NameBUCKHEAD PLASTIC SURGERY

Location Address4684 ROSWELL RD, SUITE BAtlanta, GA 30342-3074

Mailing Address4684 Roswell Rd, Suite BAtlanta, GA 30342-3074 · (404) 367-9005 · Fax (678) 240-4188

Phone(404) 367-9005

Fax(678) 240-4188

Organization SubpartNo

Authorized OfficialAlan Norman LarsenPresident · (404) 367-9005

Enumeration DateOctober 14, 2010

Last NPPES UpdateAugust 25, 2016

✔ NPI 1427368315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

License✔ Licensed in GA · 045278

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.

4684 ROSWELL RD, Atlanta, GA 30342

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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Buckhead 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 Buckhead Plastic Surgery, which bills Medicare for the services this clinician delivers.

Clinician (1)

Alan Larsen, M.D.

Plastic and Reconstructive Surgery

NPI 1871633362

4684 ROSWELL RD NORTHEAST SUITE B
Atlanta, GA 30342

(404) 367-9005

✔ 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 Buckhead Plastic Surgery's NPI number?

The NPI number for Buckhead Plastic Surgery is 1427368315. It was assigned to this organization in the NPPES registry on October 14, 2010.

Where is Buckhead Plastic Surgery located?

Buckhead Plastic Surgery is located at 4684 Roswell Rd Suite B, Atlanta, GA 30342. The listed phone number is (404) 367-9005.

What is Buckhead Plastic Surgery's specialty?

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

Is Buckhead Plastic Surgery enrolled in Medicare?

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

How many clinicians bill Medicare through Buckhead Plastic Surgery?

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

When was this NPI record last updated?

The NPPES record for Buckhead Plastic Surgery was last updated on August 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.