SOUTHEASTERN PLASTIC SURGERY PC
NPI 1821068891
Surgery - Plastic and Reconstructive Surgery in Gastonia, NC

Active since January 24, 2006
649 N NEW HOPE RD, GASTONIA, NC 28054(704) 866-4005(704) 866-0450 Get Directions Write a Review

NPPES record last updated: August 19, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Southeastern Plastic Surgery Pc NPPES

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

SOUTHEASTERN PLASTIC SURGERY PC (NPI 1821068891) is a healthcare organization registered as a plastic and reconstructive surgery in Gastonia, North Carolina and active in the NPI registry since January 2006. The organization lists Benson El Timmons, President, as its authorized official.

NPPES Registry Identity

NPI1821068891
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameSOUTHEASTERN PLASTIC SURGERY PC
Location Address649 N NEW HOPE RDGastonia, NC 28054-7424
Mailing Address649 N New Hope RdGastonia, NC 28054-7424 · (704) 866-4005 · Fax (704) 866-0450
Fax(704) 866-0450
Organization SubpartNo
Authorized OfficialBenson El TimmonsPresident · (704) 866-4005
Enumeration DateJanuary 24, 2006
Last NPPES UpdateAugust 19, 2008
NPI 1821068891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
Definition

A surgeon who specializes in plastic and reconstructive surgery.

649 N NEW HOPE RD, Gastonia, NC 28054

Other Identifiers 5

Other0269XNC · Bcbs
Medicaid890269XNC
Medicare ID-Type Unspecified2323181BNC
Medicare ID-Type Unspecified2323181CNC
Medicare ID-Type Unspecified2323181NC

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

Physician Assistant
649 N NEW HOPE RD
GASTONIA, NC 28054
Plastic Surgery
649 N NEW HOPE RD
GASTONIA, NC 28054
Surgery (Plastic and Reconstructive Surgery)
649 N NEW HOPE RD
GASTONIA, NC 28054
Dermatology
649 N NEW HOPE RD
GASTONIA, NC 28054
Dentist (General Practice)
649 N NEW HOPE RD
GASTONIA, NC 28054
Dentist (General Practice)
649 N NEW HOPE RD
GASTONIA, NC 28054

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821068891, enumerated as an "organization" on January 24, 2006.

The provider is located at 649 N NEW HOPE RD GASTONIA, NC 28054 and the phone number is (704) 866-4005.

Surgery with taxonomy code 2086S0122X and a focus in Plastic and Reconstructive Surgery.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.