GEORGIA PLASTIC SURGERY CONSULTANTS, LLC (NPI# 1992063606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992063606 |
| Entity Type | Organization |
| Organization Name | GEORGIA PLASTIC SURGERY CONSULTANTS, LLC |
| Other Organization Name | ATLANTA AESTHETICS |
| Practice Address |
1100 Northside Forsyth Dr Suite 420 Cumming GA 30041-6012 |
| Practice Telephone | 6782086008 |
| Mailing Telephone | 6782086008 |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2014-08-11 |
| Authorized Official Name | CHRISTOPHER DAVID KILLINGSWORTH (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 6782086008 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0105X |
Surgery Specialization: Surgery of the Hand |
67666 | GA | Allopathic & Osteopathic Physicians |
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
67666 | GA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Atlanta Aesthetics | Doing Business As Name - Organization |
| Street Address |
1100 NORTHSIDE FORSYTH DR SUITE 420 |
| City | CUMMING |
| State | GA |
| Zip Code | 30041-6012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003814716 | John P Gorecki | Neurological Surgery | 1100 Northside Forsyth Dr, Suite 310, Cumming, GA 30041-6012 | 2005-07-07 |
| 1790221273 | James Quick | Pharmacist | 1100 Northside Forsyth Dr, Cumming, GA 30041-6012 | 2017-01-09 |
| 1417402108 | Kanitha K Sar | Nurse Practitioner | 1100 Northside Forsyth Dr, Suite 210, Cumming, GA 30041-6012 | 2016-08-23 |
| 1558712513 | Stephanie Upchurch | Specialist/Technologist, Other | 1100 Northside Forsyth Dr, 420, Cumming, GA 30041-6012 | 2016-06-30 |
| 1407205859 | Sydnie Christine Freeman | Audiologist | 1100 Northside Forsyth Dr, Ste 490, Cumming, GA 30041-6012 | 2016-06-07 |
| 1184070740 | Jacob Summerford | Physician Assistant | 1100 Northside Forsyth Dr, Suite 250, Cumming, GA 30041-6012 | 2016-05-12 |
| 1720459621 | Kellie Cain Henderson | Nurse Practitioner | 1100 Northside Forsyth Dr, Suite 330, Cumming, GA 30041-6012 | 2015-10-18 |
| 1194194548 | Neurosurgery Answer, LLC | Neurological Surgery | 1100 Northside Forsyth Dr, Suite 310, Cumming, GA 30041-6012 | 2015-09-16 |
| 1962806596 | Pretesh Parmar | Physician Assistant | 1100 Northside Forsyth Dr, Suite 340, Cumming, GA 30041-6012 | 2014-10-10 |
| 1205248382 | Tsz Yan Julitta Lam | Physical Therapist | 1100 Northside Forsyth Dr, Suite 340, Cumming, GA 30041-6012 | 2014-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962036905 | Annie Kyungjin Han | Nurse Practitioner | 1505 Northside Forsyth Drive, Suite 2500, Cumming, GA 30041 | 2020-02-28 |
| 1295388197 | Pamela Edler | Pharmacist | 1200 Northside Forsyth Drive, Pharmacy Department, Cumming, GA 30041 | 2019-07-19 |
| 1720557127 | Dr. Tiffany Lamonde LLC | Physical Therapist | 1445 Haw Creek Circle, Suite 503, Cumming, GA 30041 | 2018-11-15 |
| 1487140893 | Bhbd LLC | Chiropractor | 425 Peachtree Parkway, Suite 315, Cumming, GA 30041 | 2018-07-09 |
| 1891219861 | Anna Gawrys | Pharmacist | 1525 Marketplace Blvd, Cumming, GA 30041 | 2017-08-01 |
| 1679029219 | Square One Dental LLC | Clinic/Center | 3510 Rowe Lane, Cumming, GA 30041 | 2016-09-01 |
| 1720441454 | Pavilion Psychological Services LLC | Psychologist | 1445 Haw Creek Corners Circle East, Suite 501, Cumming, GA 30041 | 2016-03-31 |
| 1346606506 | American Health Imaging of Ga, LLC | Clinic/Center | 1050 Haw Creek Pkwy, Suite 100, Cumming, GA 30041 | 2016-01-04 |
| 1013311307 | Stephen Hartle | Physician Assistant | 2576 Peachtree Pkwy, Suite 100, Cumming, GA 30041 | 2014-10-15 |
| 1063828408 | Stephanie Evans Wellborn | Physician Assistant | 1800 Northside Forsyth Dr Ste 450, Cumming, GA 30041 | 2014-07-07 |
| Find all providers in zip 30041 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427668342 | Spa Medical LLC | Surgery | 455 Plum St, Macon, GA 31201-3368 | 2020-08-05 |
| 1356972848 | North Atlanta Plastic Surgery Group LLC | Surgery | 11877 Douglas Rd Ste 102-367, Johns Creek, GA 30005-4325 | 2020-02-03 |
| 1881100337 | Rpc Employee Services, LLC | Surgery | 975 Johnson Ferry Rd Ste 100, Atlanta, GA 30342-1618 | 2017-12-20 |
| 1093255044 | Southeastern Aesthetic and Reconstructive Surgery | Surgery | 155 Greenville St, Newnan, GA 30263-2630 | 2017-02-24 |
| 1700249042 | Justin Kyle Williams | Surgery | 3200 Downwood Cir Nw Ste 640-4, Atlanta, GA 30327-1610 | 2016-04-04 |
| 1871901009 | Southeastern Reconstructive Services LLC | Surgery | 5205 Frederick St Ste B, Savannah, GA 31405-4520 | 2014-07-31 |
| 1730479452 | Olumayowa Pitan Abiodun | Surgery | 2709 Meredyth Dr Ste 340, Albany, GA 31707 | 2011-04-14 |
| 1609175421 | Randal H. Rudderman Md Inc | Surgery | 3400-c Old Milton Pkwy, Ste 450, Alpharetta, GA 30005-3707 | 2011-03-18 |
| 1033374392 | James Bradford Depew | Surgery | 120 Vann St Ne Ste 150, Marietta, GA 30060 | 2008-07-25 |
| 1255591814 | Corey Patrick Harkins | Surgery | 120 Vann Street, Suite 150, Marietta, GA 30060 | 2008-06-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.