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SOUTHEASTERN AESTHETIC SURGERY, LLC
NPI 1962793505
Plastic Surgery in Evans, GA

Active since May 01, 2011CLIA 11D2325133 · Waiver
447 N BELAIR RD, SUITE 105, EVANS, GA 30809(561) 310-1668 Get Directions Write a Review

NPPES record last updated: May 1, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southeastern Aesthetic Surgery, Llc NPPES

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

SOUTHEASTERN AESTHETIC SURGERY, LLC (NPI 1962793505) is a healthcare organization registered as a plastic surgery in Evans, Georgia and active in the NPI registry since May 2011. The organization holds a CLIA Waiver certificate valid through June 6, 2027 and lists William Troy Austin, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1962793505
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameSOUTHEASTERN AESTHETIC SURGERY, LLC
Location Address447 N BELAIR RD, SUITE 105Evans, GA 30809-3090
Mailing Address4115 Columbia Rd, Suite 5331Martinez, GA 30907-0405 · (561) 310-1668
Phone(561) 310-1668
Organization SubpartNo
Authorized OfficialWilliam Troy AustinManaging Member · (561) 310-1668
Enumeration DateMay 1, 2011
✔ NPI 1962793505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in GA · 59595
Definition
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.
447 N BELAIR RD, Evans, GA 30809
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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 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 11D2325133

Southeastern Aesthetic Surgery · Augusta, GA
Active · expires Jun 6, 2027
CLIA Number11D2325133
Laboratory TypePhysician Office
Certificate Effective DateJune 7, 2025
Certificate Expiration DateJune 6, 2027
Laboratory DirectorWilliam T. Austin
Laboratory Phone(706) 854-2080
Laboratory LocationSoutheastern Aesthetic Surgery225 Cooper Court, Augusta, GA 30907
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

DR. KEVIN KENNEDY TRAPNELL MD
Family Medicine
447 N BELAIR RD, # 101
EVANS, GA 30809
Columbia County (706) 854-2222
UNIVERSITY HEALTH CARE PHYSICIANS LLC
Internal Medicine
447 N BELAIR RD, SUITE 101
EVANS, GA 30809
Columbia County (706) 854-2222
G. DAVID VOLPITTO, MD PC
Anesthesiology
447 N BELAIR RD, SUITE 103
EVANS, GA 30809
Columbia County (706) 854-3333
UNIVERSITY PROMPT CARE
Clinic/Center (Urgent Care)
447 N BELAIR RD, SUITE 101
EVANS, GA 30809
Columbia County (706) 854-2222
ERINN BEASLEY FNP-BC
Nurse Practitioner (Family)
447 N BELAIR RD
EVANS, GA 30809
Columbia County (706) 854-2222
TRISTATE ANESTHESIA SOLUTIONS LLC
Nurse Anesthetist, Certified Registered
447 N BELAIR RD, SUITE 103
EVANS, GA 30809
Columbia County (706) 854-3333
DR. ROLAND H GREEN JR. M.D.
Internal Medicine
447 N BELAIR RD, STE 104
EVANS, GA 30809
Columbia County (678) 386-6201
MR. BRIAN MITCHELL CUNNINGHAM D.O.
Family Medicine
447 N BELAIR RD, STE # 101
EVANS, GA 30809
Columbia County (706) 854-2222

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 Aesthetic Surgery, LLC's NPI number?

The NPI number for Southeastern Aesthetic Surgery, LLC is 1962793505. It was assigned to this organization in the NPPES registry on May 1, 2011.

Where is Southeastern Aesthetic Surgery, LLC located?

Southeastern Aesthetic Surgery, LLC is located at 447 N Belair Rd Suite 105, Evans, GA 30809. The listed phone number is (561) 310-1668.

What is Southeastern Aesthetic Surgery, LLC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Does Southeastern Aesthetic Surgery, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2325133) is associated with this NPI, valid through June 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Southeastern Aesthetic Surgery, LLC was last updated on May 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.