SPA MEDICAL LLC
NPI 1427668342
Surgery - Plastic and Reconstructive Surgery in Macon, GA

Active since August 05, 2020

NPPES record last updated: October 6, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 6, 2020, Aug 5, 2020 (2 updates tracked since 2020).

About Spa Medical Llc NPPES

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

SPA MEDICAL LLC (NPI 1427668342), doing business as Aesthetic Center For Plastic Surgery, is a healthcare organization registered as a plastic and reconstructive surgery in Macon, Georgia and active in the NPI registry since August 2020. The organization lists Kenneth Earl Harper, Owner, as its authorized official.

NPPES Registry Identity

NPI1427668342
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameSPA MEDICAL LLC
Location Address455 PLUM STMacon, GA 31201-3368
Mailing Address455 Plum StMacon, GA 31201-3368 · (478) 743-2209
Organization SubpartNo
Authorized OfficialKenneth Earl HarperOwner · (478) 743-2472
Enumeration DateAugust 5, 2020
Last NPPES UpdateOctober 6, 20202 updates tracked since enumeration
NPPES CertifiedOctober 6, 2020
NPI 1427668342 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.
455 PLUM ST, Macon, GA 31201

Other Names 1

Doing Business AsAesthetic Center For Plastic Surgery

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

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 Spa Medical LLC's NPI number?

The NPI number for Spa Medical LLC is 1427668342. It was assigned to this organization in the NPPES registry on August 5, 2020. The provider is doing business as Aesthetic Center for Plastic Surgery.

Where is Spa Medical LLC located?

Spa Medical LLC is located at 455 Plum St, Macon, GA 31201. The listed phone number is (478) 743-2209.

What is Spa Medical LLC'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 Spa Medical LLC was last updated on October 6, 2020. 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.