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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: August 16, 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
Phone(704) 866-4005
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
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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 5

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

ROBERTA J HAWK MD
Dermatology
649 N NEW HOPE RD
GASTONIA, NC 28054
Gaston County (704) 866-4005
REKHA ARASARAJU SATYAPRAKASH
Physician Assistant
649 N NEW HOPE RD
GASTONIA, NC 28054
Gaston County (704) 866-4005
DR. LEON BUTCHER IV DDS
Dentist (General Practice)
649 N NEW HOPE RD
GASTONIA, NC 28054
Gaston County (716) 534-0355
DR. CAMERON AND ASSOCIATES OF GASTONIA, PLLC
Dentist (General Practice)
649 N NEW HOPE RD
GASTONIA, NC 28054
Gaston County (704) 854-8887
DR. BENSON ELLISON LANE TIMMONS IV MD
Plastic Surgery
649 N NEW HOPE RD
GASTONIA, NC 28054
Gaston County (704) 866-4005

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 Southeastern Plastic Surgery PC's NPI number?

The NPI number for Southeastern Plastic Surgery PC is 1821068891. It was assigned to this organization in the NPPES registry on January 24, 2006.

Where is Southeastern Plastic Surgery PC located?

Southeastern Plastic Surgery PC is located at 649 N New Hope Rd, Gastonia, NC 28054. The listed phone number is (704) 866-4005.

What is Southeastern Plastic Surgery PC'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 Southeastern Plastic Surgery PC was last updated on August 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.