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DR. NILTON D MEDINA MD
NPI 1548488992
Plastic Surgery in Loganville, GA

Active since April 23, 2007PECOS EnrolledAccepts Medicare Assignment
367 ATHENS HWY STE 100, LOGANVILLE, GA 30052(678) 466-6760(678) 802-7094 Get Directions Write a Review

NPPES record last updated: June 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Nilton D Medina Md NPPES

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

DR. NILTON D MEDINA MD (NPI 1548488992) is an individual plastic surgery provider in Loganville, Georgia, licensed in Georgia (91080) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Southeastern Regional Medical Center, Inc, and maintains a secondary practice location in Atlanta.

NPPES Registry Identity

NPI1548488992
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameDR. NILTON D MEDINACredential: MD
Location Address367 ATHENS HWY STE 100Loganville, GA 30052-2207
Mailing Address367 Athens Hwy Ste 100Loganville, GA 30052-2207 · (678) 466-6760 · Fax (678) 802-7094
Phone(678) 466-6760
Fax(678) 802-7094
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateApril 23, 2007
Last NPPES UpdateJune 6, 2023
NPPES CertifiedJune 6, 2023
✔ NPI 1548488992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
Licenses✔ Licensed in GA · 91080✔ Licensed in MA · 244734
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.
367 ATHENS HWY STE 100, Loganville, GA 30052
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Secondary Practice Location 1

Location 1371 E Paces Ferry Rd NE Unit 450Atlanta, GA 30305-2372 · Phone (678) 466-6760

Other Identifiers 1

Medicaid110086073AMA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Nilton D Medina Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688790850
PECOS Enrollment IDI20260526002360
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Southeastern Regional Medical Center, Inc

Acute Care Hospitals · Newnan, GA
5/5 CMS rating
OwnershipProprietary
CMS Certification Number110233
Location600 Celebrate Life Parkway NorthNewnan, GA 30265 · Coweta County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30052 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Nilton Medina's NPI number?

The NPI number for Nilton Medina is 1548488992. It was assigned to this individual provider in the NPPES registry on April 23, 2007.

Where is Nilton Medina located?

Nilton Medina practices at 367 Athens Hwy Ste 100, Loganville, GA 30052. The listed phone number is (678) 466-6760.

What is Nilton Medina's specialty?

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

Is Nilton Medina enrolled in Medicare?

Yes. Nilton Medina is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Nilton Medina affiliated with any hospitals?

According to CMS data, Nilton Medina is affiliated with Southeastern Regional Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Nilton Medina was last updated on June 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.