SOUTHERN INDIANA AESTHETIC AND PLASTIC SURGERY LLC
NPI 1487765103
in Columbus, IN

Active since August 31, 2006

2450 N PARK DR STE B, COLUMBUS, IN 47203(812) 376-8997(812) 373-5323 Get Directions Write a Review

NPPES record last updated: December 4, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Southern Indiana Aesthetic And Plastic Surgery Llc NPPES

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

SOUTHERN INDIANA AESTHETIC AND PLASTIC SURGERY LLC (NPI 1487765103) is a healthcare organization registered with NPPES in Columbus, Indiana and active in the NPI registry since August 2006. The organization lists Thomas Logan Jackson, Owner, as its authorized official.

NPPES Registry Identity

NPI1487765103

Entity TypeOrganization

Primary Taxonomy246ZS0400X

Legal Business NameSOUTHERN INDIANA AESTHETIC AND PLASTIC SURGERY LLC

Location Address2450 N PARK DR STE BColumbus, IN 47203-2292

Mailing Address2450 N Park Dr Ste BColumbus, IN 47203-2292 · (812) 376-8997 · Fax (812) 373-5323

Phone(812) 376-8997

Fax(812) 373-5323

Organization SubpartNo

Authorized OfficialThomas Logan JacksonOwner · (812) 376-8997

Enumeration DateAugust 31, 2006

Last NPPES UpdateDecember 4, 2012

✔ NPI 1487765103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary Specialty

Taxonomy Code246ZS0400X

License✔ Licensed in IN · 01046379A

2450 N PARK DR STE B, Columbus, IN 47203

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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 Southern Indiana Aesthetic And Plastic Surgery LLC's NPI number?

The NPI number for Southern Indiana Aesthetic And Plastic Surgery LLC is 1487765103. It was assigned to this organization in the NPPES registry on August 31, 2006.

Where is Southern Indiana Aesthetic And Plastic Surgery LLC located?

Southern Indiana Aesthetic And Plastic Surgery LLC is located at 2450 N Park Dr Ste B, Columbus, IN 47203. The listed phone number is (812) 376-8997.

What insurance does Southern Indiana Aesthetic And Plastic Surgery LLC accept?

Health plans from CareSource list Southern Indiana Aesthetic And Plastic Surgery LLC 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 Southern Indiana Aesthetic And Plastic Surgery LLC was last updated on December 4, 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.