SOUTHERN CRESCENT PLASTIC SURGERY, PC
NPI 1841573458
Surgery - Plastic and Reconstructive Surgery in Stockbridge, GA

Active since September 21, 2011
919 EAGLES LANDING PKWY, STOCKBRIDGE, GA 30281(770) 389-0446(770) 389-3530 Get Directions Write a Review

NPPES record last updated: September 21, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southern Crescent Plastic Surgery, Pc NPPES

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

SOUTHERN CRESCENT PLASTIC SURGERY, PC (NPI 1841573458) is a healthcare organization registered as a plastic and reconstructive surgery in Stockbridge, Georgia and active in the NPI registry since September 2011. The organization lists Alice Gross, Administrator, as its authorized official.

NPPES Registry Identity

NPI1841573458
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameSOUTHERN CRESCENT PLASTIC SURGERY, PC
Location Address919 EAGLES LANDING PKWYStockbridge, GA 30281-5011
Mailing Address919 Eagles Landing PkwyStockbridge, GA 30281-5011 · (770) 389-0446 · Fax (770) 389-3530
Fax(770) 389-3530
Organization SubpartNo
Authorized OfficialAlice GrossAdministrator · (770) 389-0446
Enumeration DateSeptember 21, 2011
NPI 1841573458 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.
919 EAGLES LANDING PKWY, Stockbridge, GA 30281

Other Identifiers 1

Medicare UPINE02127GA

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

Other Providers at the Same Location NPPES 7

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

Registered Nurse (Registered Nurse First Assistant)
919 EAGLES LANDING PKWY
STOCKBRIDGE, GA 30281
Specialist
919 EAGLES LANDING PKWY
STOCKBRIDGE, GA 30281
Nurse Practitioner
919 EAGLES LANDING PKWY
STOCKBRIDGE, GA 30281
Family Medicine
919 EAGLES LANDING PKWY
STOCKBRIDGE, GA 30281
Internal Medicine
919 EAGLES LANDING PKWY
STOCKBRIDGE, GA 30281
Internal Medicine
919 EAGLES LANDING PKWY
STOCKBRIDGE, GA 30281
Clinic/Center (Ambulatory Surgical)
919 EAGLES LANDING PKWY
STOCKBRIDGE, GA 30281

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 Southern Crescent Plastic Surgery, PC's NPI number?

The NPI number for Southern Crescent Plastic Surgery, PC is 1841573458. It was assigned to this organization in the NPPES registry on September 21, 2011.

Where is Southern Crescent Plastic Surgery, PC located?

Southern Crescent Plastic Surgery, PC is located at 919 Eagles Landing Pkwy, Stockbridge, GA 30281. The listed phone number is (770) 389-0446.

What is Southern Crescent 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 Southern Crescent Plastic Surgery, PC was last updated on September 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.