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ATLANTA APC PLASTIC SURGERY
NPI 1669155396
Plastic Surgery in Atlanta, GA

Active since August 09, 2023CLIA 11D2084159 · Waiver
285 BOULEVARD NE STE 345B, ATLANTA, GA 30312(140) 424-0280 Get Directions Write a Review

NPPES record last updated: August 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Atlanta Apc Plastic Surgery NPPES

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

ATLANTA APC PLASTIC SURGERY (NPI 1669155396) is a healthcare organization registered as a plastic surgery in Atlanta, Georgia and active in the NPI registry since August 2023. The organization holds a CLIA Waiver certificate valid through September 18, 2026 and lists Geraldine Tharpe, Administrative Office Manager, as its authorized official.

NPPES Registry Identity

NPI1669155396
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameATLANTA APC PLASTIC SURGERY
Location Address285 BOULEVARD NE STE 345BAtlanta, GA 30312-4201
Mailing Address285 Boulevard Ne Ste 345bAtlanta, GA 30312-4201 · (140) 424-0280
Phone(140) 424-0280
Organization SubpartNo
Authorized OfficialGeraldine TharpeAdministrative Office Manager · (140) 453-9973
Enumeration DateAugust 9, 2023
NPPES CertifiedAugust 9, 2023
✔ NPI 1669155396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
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.
285 BOULEVARD NE STE 345B, Atlanta, GA 30312
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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

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 11D2084159

Atlanta Apc Plastic Surgery · Atlanta, GA
Active · expires Sep 18, 2026
CLIA Number11D2084159
Laboratory TypePhysician Office
Certificate Effective DateSeptember 19, 2024
Certificate Expiration DateSeptember 18, 2026
Laboratory DirectorLisa B. Bootstaylor
Laboratory Phone(404) 240-2804
Laboratory LocationAtlanta Apc Plastic Surgery285 Boulevard NE Suite 345B, Atlanta, GA 30312
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Atlanta Apc Plastic Surgery's NPI number?

The NPI number for Atlanta Apc Plastic Surgery is 1669155396. It was assigned to this organization in the NPPES registry on August 9, 2023.

Where is Atlanta Apc Plastic Surgery located?

Atlanta Apc Plastic Surgery is located at 285 Boulevard NE Ste 345B, Atlanta, GA 30312. The listed phone number is (140) 424-0280.

What is Atlanta Apc Plastic Surgery's specialty?

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

Does Atlanta Apc Plastic Surgery hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2084159) is associated with this NPI, valid through September 18, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Atlanta Apc Plastic Surgery was last updated on August 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.