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WEST SIDE PLASTIC SURGERY, INC
NPI 1730380775
Surgery - Plastic and Reconstructive Surgery in Atlanta, GA

Active since May 29, 2007
960 JOHNSON FERRY RD N.E., SUITE 336, ATLANTA, GA 30342(404) 805-5535(866) 935-5995 Get Directions Write a Review

NPPES record last updated: April 11, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About West Side Plastic Surgery, Inc NPPES

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

WEST SIDE PLASTIC SURGERY, INC (NPI 1730380775) is a healthcare organization registered as a plastic and reconstructive surgery in Atlanta, Georgia and active in the NPI registry since May 2007. The organization lists Vetra A Gipson, Owner, as its authorized official.

NPPES Registry Identity

NPI1730380775
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameWEST SIDE PLASTIC SURGERY, INC
Location Address960 JOHNSON FERRY RD N.E., SUITE 336Atlanta, GA 30342
Mailing Address4480 S Cobb Dr Se Ste H, Box 323Smyrna, GA 30080-6984 · (404) 805-5535 · Fax (866) 935-5995
Phone(404) 805-5535
Fax(866) 935-5995
Organization SubpartNo
Authorized OfficialVetra A GipsonOwner · (404) 805-0646
Enumeration DateMay 29, 2007
Last NPPES UpdateApril 11, 2011
✔ NPI 1730380775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in GA · 50518
Definition
A surgeon who specializes in plastic and reconstructive surgery.
960 JOHNSON FERRY RD N.E., Atlanta, GA 30342
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Other Identifiers 3

Medicaid000963102BGA
Medicare ID-Type UnspecifiedGRP7295GA
Medicare UPINH59132GA

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

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 West Side Plastic Surgery, Inc's NPI number?

The NPI number for West Side Plastic Surgery, Inc is 1730380775. It was assigned to this organization in the NPPES registry on May 29, 2007.

Where is West Side Plastic Surgery, Inc located?

West Side Plastic Surgery, Inc is located at 960 Johnson Ferry Rd N.E. Suite 336, Atlanta, GA 30342. The listed phone number is (404) 805-5535.

What is West Side Plastic Surgery, Inc's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

When was this NPI record last updated?

The NPPES record for West Side Plastic Surgery, Inc was last updated on April 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.