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DALTON PLASTIC SURGERY CENTER
NPI 1659606408
Plastic Surgery in Dalton, GA

Active since October 13, 2009CLIA 11D0976586 · Waiver
1501 BROADRICK DRIVE, SUITE 1, DALTON, GA 30720(706) 226-3311(706) 275-8723 Get Directions Write a Review

NPPES record last updated: March 1, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dalton Plastic Surgery Center NPPES

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

DALTON PLASTIC SURGERY CENTER (NPI 1659606408) is a healthcare organization registered as a plastic surgery in Dalton, Georgia and active in the NPI registry since October 2009. The organization holds a CLIA Waiver certificate valid through August 8, 2026 and lists Reginald Sherrill, Owner, as its authorized official.

NPPES Registry Identity

NPI1659606408
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameDALTON PLASTIC SURGERY CENTER
Location Address1501 BROADRICK DRIVE, SUITE 1Dalton, GA 30720
Mailing Address1501 Broadrick Drive, Suite 1Dalton, GA 30720 · (706) 226-3311 · Fax (706) 275-8723
Phone(706) 226-3311
Fax(706) 275-8723
Organization SubpartNo
Authorized OfficialReginald SherrillOwner · (706) 226-3311
Enumeration DateOctober 13, 2009
Last NPPES UpdateMarch 1, 2010
✔ NPI 1659606408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in GA · 023677
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.

1501 BROADRICK DRIVE, Dalton, GA 30720
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Other Identifiers 2

Medicare UPIND30804GA
Medicaid00245627AGA

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 Alliant Health Plans, Inc..Insurance ›

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 11D0976586

Dalton Plastic Surgery Center · Dalton, GA
Active · expires Aug 8, 2026
CLIA Number11D0976586
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateAugust 9, 2024
Certificate Expiration DateAugust 8, 2026
Laboratory DirectorSherrill R. Reginald
Laboratory Phone(706) 226-3311
Laboratory LocationDalton Plastic Surgery Center1501 Broadrick Drive, Suite #1, Dalton, GA 30720
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. CONRAD HARLAN EASLEY MD
Orthopaedic Surgery
1501 BROADRICK DRIVE, SUITE 3
DALTON, GA 30720
Whitfield County (706) 226-6318

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 Dalton Plastic Surgery Center's NPI number?

The NPI number for Dalton Plastic Surgery Center is 1659606408. It was assigned to this organization in the NPPES registry on October 13, 2009.

Where is Dalton Plastic Surgery Center located?

Dalton Plastic Surgery Center is located at 1501 Broadrick Drive Suite 1, Dalton, GA 30720. The listed phone number is (706) 226-3311.

What is Dalton Plastic Surgery Center's specialty?

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

Does Dalton Plastic Surgery Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0976586) is associated with this NPI, valid through August 8, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Dalton Plastic Surgery Center accept?

Health plans from Alliant Health Plans, Inc. list Dalton Plastic Surgery Center 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 Dalton Plastic Surgery Center was last updated on March 1, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.