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SOUTHERN PLASTIC SURGERY, P.C.
NPI 1528334190
Specialist in Duluth, GA

Active since March 28, 2012
3855 PLEASANT HILL RD, SUITE 370, DULUTH, GA 30096(770) 622-9100(770) 622-9822 Get Directions Write a Review

NPPES record last updated: March 28, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southern Plastic Surgery, P.c. NPPES

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

SOUTHERN PLASTIC SURGERY, P.C. (NPI 1528334190) is a healthcare organization registered as a specialist in Duluth, Georgia and active in the NPI registry since March 2012. The organization lists Jacqueline Madison, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1528334190
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSOUTHERN PLASTIC SURGERY, P.C.
Location Address3855 PLEASANT HILL RD, SUITE 370Duluth, GA 30096-1407
Mailing Address3855 Pleasant Hill Rd, Suite 370Duluth, GA 30096-1407 · (770) 622-9100 · Fax (770) 622-9822
Phone(770) 622-9100
Fax(770) 622-9822
Organization SubpartNo
Authorized OfficialJacqueline MadisonPractice Manager · (770) 622-9100
Enumeration DateMarch 28, 2012
✔ NPI 1528334190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in GA · 037728
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.
3855 PLEASANT HILL RD, Duluth, GA 30096
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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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHAEL JOHN PICKFORD M.D.
Otolaryngology
3855 PLEASANT HILL RD, SUITE 280
DULUTH, GA 30096
Gwinnett County (678) 312-7390
DONNA L CRAWFORD PA
Physician Assistant (Medical)
3855 PLEASANT HILL RD, SUITE 420
DULUTH, GA 30096
Gwinnett County (770) 495-1955
OLUSEUN AFOLABI OLUFADE MD
Physical Medicine & Rehabilitation
3855 PLEASANT HILL RD, SUITE 470
DULUTH, GA 30096
Gwinnett County (770) 813-8888
KARISHMA PANKAJ PATEL PA-C
Physician Assistant
3855 PLEASANT HILL RD
DULUTH, GA 30096
Gwinnett County (770) 495-1955
CHA OB/GYN
Obstetrics & Gynecology
3855 PLEASANT HILL RD, SUITE 270
DULUTH, GA 30096
Gwinnett County (937) 216-5707
DAMAR ANTWAN LEWIS AGACNP-BC
Nurse Practitioner (Acute Care)
3855 PLEASANT HILL RD
DULUTH, GA 30096
Gwinnett County (678) 312-1000
MARK MAJOCH M.D.
Family Medicine
3855 PLEASANT HILL RD, STE 100
DULUTH, GA 30096
Gwinnett County (770) 495-0155
DR. R. MORGAN DAVOUDI M.D.
Plastic Surgery
3855 PLEASANT HILL RD, SUITE 300
DULUTH, GA 30096
Gwinnett County (770) 418-1234

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 Plastic Surgery, P.C.'s NPI number?

The NPI number for Southern Plastic Surgery, P.C. is 1528334190. It was assigned to this organization in the NPPES registry on March 28, 2012.

Where is Southern Plastic Surgery, P.C. located?

Southern Plastic Surgery, P.C. is located at 3855 Pleasant Hill Rd Suite 370, Duluth, GA 30096. The listed phone number is (770) 622-9100.

What is Southern Plastic Surgery, P.C.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Southern Plastic Surgery, P.C. was last updated on March 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.