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PLASTIC SURGERY SERVICES OF FREDERICKSBURG
NPI 1912087206
Surgery - Plastic and Reconstructive Surgery in Fredericksburg, VA

Active since October 17, 2006CLIA 49D2079285 · Waiver
3312 FALL HILL AVE, FREDERICKSBURG, VA 22401(540) 371-7730(540) 371-4790 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Plastic Surgery Services Of Fredericksburg NPPES

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

PLASTIC SURGERY SERVICES OF FREDERICKSBURG (NPI 1912087206) is a healthcare organization registered as a plastic and reconstructive surgery in Fredericksburg, Virginia and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through June 12, 2028 and lists Lesi Beamon Mackey, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1912087206
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NamePLASTIC SURGERY SERVICES OF FREDERICKSBURG
Location Address3312 FALL HILL AVEFredericksburg, VA 22401-3000
Mailing Address3312 Fall Hill AveFredericksburg, VA 22401-3000 · (540) 371-7730 · Fax (540) 371-4790
Phone(540) 371-7730
Fax(540) 371-4790
Organization SubpartNo
Authorized OfficialLesi Beamon MackeyPractice Administrator · (540) 371-7726
Enumeration DateOctober 17, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1912087206 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.
3312 FALL HILL AVE, Fredericksburg, VA 22401
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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 MULTIPLE 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 49D2079285

Plastic Surgery Services Of Fredericksburg · Fredericksburg, VA
Active · expires Jun 12, 2028
CLIA Number49D2079285
Laboratory TypePhysician Office
Certificate Effective DateJune 13, 2026
Certificate Expiration DateJune 12, 2028
Laboratory DirectorHoward P. Heppe
Laboratory Phone(540) 371-7730
Laboratory LocationPlastic Surgery Services Of Fredericksburg3312 Fall Hill Avenue, Fredericksburg, VA 22401
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

DR. HOWARD P HEPPE M.D.
Surgery (Plastic and Reconstructive Surgery)
3312 FALL HILL AVE
FREDERICKSBURG, VA 22401
Fredericksburg City (540) 371-7730
DR. HAROLD C BAUTISTA M.D.
Surgery (Plastic and Reconstructive Surgery)
3312 FALL HILL AVE
FREDERICKSBURG, VA 22401
Fredericksburg City (540) 371-7730
DR. PEJMAN AFLAKI M.D.
Surgery (Plastic and Reconstructive Surgery)
3312 FALL HILL AVE
FREDERICKSBURG, VA 22401
Fredericksburg City (540) 371-7730

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 Plastic Surgery Services Of Fredericksburg's NPI number?

The NPI number for Plastic Surgery Services Of Fredericksburg is 1912087206. It was assigned to this organization in the NPPES registry on October 17, 2006.

Where is Plastic Surgery Services Of Fredericksburg located?

Plastic Surgery Services Of Fredericksburg is located at 3312 Fall Hill Ave, Fredericksburg, VA 22401. The listed phone number is (540) 371-7730.

What is Plastic Surgery Services Of Fredericksburg's specialty?

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

Does Plastic Surgery Services Of Fredericksburg hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2079285) is associated with this NPI, valid through June 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Plastic Surgery Services Of Fredericksburg was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.