SOUTHEASTERN AESTHETIC SURGERY, LLC
NPI 1962793505
Plastic Surgery in Evans, GA
NPI Status: Active since May 01, 2011
Contact Information
447 N BELAIR RD
SUITE 105
EVANS, GA
ZIP 30809
Phone: (561) 310-1668
- Organization
- Plastic Surgery
- CLIA Number: 11D2325133
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-06-2027
About SOUTHEASTERN AESTHETIC SURGERY, LLC
This page provides the complete NPI Profile along with additional information for Southeastern Aesthetic Surgery, Llc, a provider established in Evans, Georgia operating as a Plastic Surgery. The healthcare provider is registered in the NPI registry with number 1962793505 assigned on May 2011. The practitioner's primary taxonomy code is 208200000X with license number 59595 (GA). The provider is registered as an organization and their NPI record was last updated 15 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. William Troy Austin M.d. (Managing Member)
- NPI
- 1962793505
- Provider Name
- SOUTHEASTERN AESTHETIC SURGERY, LLC
- Entity Type
- Organization
- Location Address
- 447 N BELAIR RD SUITE 105 EVANS, GA 30809
- Location Phone
- (561) 310-1668
- Mailing Address
- 4115 COLUMBIA RD SUITE 5331 MARTINEZ, GA 30907
- Mailing Phone
- (561) 310-1668
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-01-2011
- Last Update Date
- 05-01-2011
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Plastic Surgery
- Taxonomy Code
- 208200000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 59595
- License State
- GA
- Taxonomy Description
- A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 11D2325133
- Facility Type
- Physician Office
- Certificate Effective Date
- June 07, 2025
- Certificate Expiration Date
- June 06, 2027
- Laboratory Director
- WILLIAM T. AUSTIN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Southeastern Aesthetic Surgery, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1962793505, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 65 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 9 providers are registered at the same or a nearby location.
EVANS, GA 30809
EVANS, GA 30809
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962793505, enumerated as an "organization" on May 01, 2011.
The provider is located at 447 N BELAIR RD SUITE 105 EVANS, GA 30809 and the phone number is (561) 310-1668.
Plastic Surgery with taxonomy code 208200000X.
