GEORGIA PLASTIC & RECONSTRUCTIVE SURGERY
NPI 1447580790
Plastic Surgery in Marietta, GA
About Georgia Plastic & Reconstructive Surgery NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GEORGIA PLASTIC & RECONSTRUCTIVE SURGERY (NPI 1447580790) is a healthcare organization registered as a plastic surgery in Marietta, Georgia and active in the NPI registry since January 2010. The organization holds a CLIA Waiver certificate valid through November 20, 2027 and lists Stanley Okoro, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Georgia Plastic & Reconstructive Surgery is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Georgia Plastic & Reconstructive Surgery, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 11D2069280
Georgia Plastic And Reconstructive Surgery, PC · Marietta, GAFrequently 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 Georgia Plastic & Reconstructive Surgery's NPI number?
The NPI number for Georgia Plastic & Reconstructive Surgery is 1447580790. It was assigned to this organization in the NPPES registry on January 9, 2010.
Where is Georgia Plastic & Reconstructive Surgery located?
Georgia Plastic & Reconstructive Surgery is located at 2285 Asquith Ave SW Suite 200, Marietta, GA 30008. The listed phone number is (770) 485-1554.
What is Georgia Plastic & Reconstructive Surgery's specialty?
The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.
Is Georgia Plastic & Reconstructive Surgery enrolled in Medicare?
Yes. Georgia Plastic & Reconstructive Surgery is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Georgia Plastic & Reconstructive Surgery?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Plastic and Reconstructive Surgery, reassign their Medicare billing to Georgia Plastic & Reconstructive 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Georgia Plastic & Reconstructive Surgery hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2069280) is associated with this NPI, valid through November 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Georgia Plastic & Reconstructive Surgery was last updated on November 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Georgia Plastic & Reconstructive Surgery · NPI 1447580790
Plastic Surgery organization in Marietta, Georgia. Organization record, active in the CMS NPPES registry since January 9, 2010.
## Identity
- **NPI:** 1447580790 (Entity type: Organization)
- **Enumerated:** January 9, 2010
- **Primary specialty:** Plastic Surgery · taxonomy 208200000X
- **Organization subpart:** No
- **Authorized official:** Stanley Okoro, CEO
## Practice location
- **Address:** 2285 ASQUITH AVE SW, SUITE 200, Marietta, GA 30008-6008
- **Phone:** (770) 485-1554
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Plastic and Reconstructive Surgery) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 17, 2012
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1447580790) · Data from the CMS NPPES public registry.