CRAWFORD PLASTIC SURGERY – NPI #1295993194
Plastic Surgery

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.

Health Care Provider Taxonomy Code for Plastic Surgery

CRAWFORD PLASTIC SURGERY is a plastic surgeon located in KENNESAW, GA. NPPES has assigned the NPI number 1295993194 to CRAWFORD PLASTIC SURGERY on May 28, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208200000X from the Health Care Provider Taxonomy code set, which is classified as Plastic Surgery.

The NPI profile was last updated on Mar 18, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CRAWFORD PLASTIC SURGERY below.

NPI Profile for
CRAWFORD PLASTIC SURGERY

NPI Number
1295993194
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CRAWFORD PLASTIC SURGERY
Primary location
3450 ACWORTH DUE WEST RD NW STE 220
KENNESAW, GA 30144-1001
Phone: (770) 794-6643 Fax: (770) 618-9617
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MARCUS CRAWFORD
CEO/OWNER
Phone: (770) 794-6643
Updated
Certification Date
Mar 18, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for CRAWFORD PLASTIC SURGERY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidGA721385595A
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208200000X
- Plastic Surgery (Primary)		 GA 058734

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
Kennesaw
Endpoint type
Other URL
Endpoint Description
ADDRESS
Content Type
OTHER
Affiliation
N
Endpoint Location
3450 ACWORTH DUE WEST RD NW STE 220,
KENNESAW, GA 77025-1669