SOUTHERN CRESCENT PLASTIC SURGERY ASC
NPI 1942353115
Clinic/Center - Ambulatory Surgical in Stockbridge, GA

Active since January 19, 2007
919 EAGLES LANDING PKWY, STOCKBRIDGE, GA 30281(770) 389-0446(770) 389-3530 Get Directions Write a Review

NPPES record last updated: February 17, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southern Crescent Plastic Surgery Asc NPPES

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

SOUTHERN CRESCENT PLASTIC SURGERY ASC (NPI 1942353115) is a healthcare organization registered as an ambulatory surgical in Stockbridge, Georgia and active in the NPI registry since January 2007. The organization lists Alice Gross, Administrator, as its authorized official.

NPPES Registry Identity

NPI1942353115
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSOUTHERN CRESCENT PLASTIC SURGERY ASC
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 DateJanuary 19, 2007
Last NPPES UpdateFebruary 17, 2012
NPI 1942353115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License Licensed in GA · 035432
919 EAGLES LANDING PKWY, Stockbridge, GA 30281

Other Identifiers 2

Medicare ID-Type Unspecified111097ASCAGA · Asc Id
Medicaid00762572AGA

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
Surgery (Plastic and Reconstructive Surgery)
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 ASC's NPI number?

The NPI number for Southern Crescent Plastic Surgery ASC is 1942353115. It was assigned to this organization in the NPPES registry on January 19, 2007.

Where is Southern Crescent Plastic Surgery ASC located?

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

What is Southern Crescent Plastic Surgery ASC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Southern Crescent Plastic Surgery ASC was last updated on February 17, 2012. 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.