1. Home
  2. Directory
  3. Georgia
  4. Fayetteville
  5. Clinic Center
  6. NPI Profile

FAYETTE PLASTICSURGERY CENTER LLC
NPI 1639416365
Clinic/Center - Ambulatory Surgical in Fayetteville, GA

Active since January 15, 2013
874 LANIER AVE W, SUITE 100, FAYETTEVILLE, GA 30214(770) 461-4000(770) 603-7040 Get Directions Write a Review

NPPES record last updated: January 15, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fayette Plasticsurgery Center Llc NPPES

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

FAYETTE PLASTICSURGERY CENTER LLC (NPI 1639416365) is a healthcare organization registered as an ambulatory surgical in Fayetteville, Georgia and active in the NPI registry since January 2013. The organization lists Joseph Raniere, Vice President, as its authorized official.

NPPES Registry Identity

NPI1639416365
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameFAYETTE PLASTICSURGERY CENTER LLC
Location Address874 LANIER AVE W, SUITE 100Fayetteville, GA 30214-7662
Mailing Address874 Lanier Ave W, Suite 100Fayetteville, GA 30214-7662 · (770) 461-4000 · Fax (770) 603-7040
Phone(770) 461-4000
Fax(770) 603-7040
Organization SubpartNo
Authorized OfficialJoseph RaniereVice President · (770) 461-4000
Enumeration DateJanuary 15, 2013
✔ NPI 1639416365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in GA · 12056659
874 LANIER AVE W, Fayetteville, GA 30214
Open in Google Maps ↗

Other Providers at the Same Location NPPES 2

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

VALENTINE WEIGHT LOSS & WELLNESS CENTER
Clinic/Center (Primary Care)
874 LANIER AVE W, SUITE 210
FAYETTEVILLE, GA 30214
Fayette County (770) 833-7739
TRUFFLES VEIN CENTER, LLC
Plastic Surgery
874 LANIER AVE W, SUITE 120
FAYETTEVILLE, GA 30214
Fayette County (678) 833-1444

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 Fayette Plasticsurgery Center LLC's NPI number?

The NPI number for Fayette Plasticsurgery Center LLC is 1639416365. It was assigned to this organization in the NPPES registry on January 15, 2013.

Where is Fayette Plasticsurgery Center LLC located?

Fayette Plasticsurgery Center LLC is located at 874 Lanier Ave W Suite 100, Fayetteville, GA 30214. The listed phone number is (770) 461-4000.

What is Fayette Plasticsurgery Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Fayette Plasticsurgery Center LLC was last updated on January 15, 2013. 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.