WEST SIDE PLASTIC SURGERY, INC – NPI #1730380775
Surgery

A surgeon who specializes in plastic and reconstructive surgery.

Health Care Provider Taxonomy Code for Surgery

WEST SIDE PLASTIC SURGERY, INC is a surgeon located in ATLANTA, GA. NPPES has assigned the NPI number 1730380775 to WEST SIDE PLASTIC SURGERY, INC on May 29, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2086S0122X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Plastic and Reconstructive Surgery

The NPI profile was previously updated about 15 years ago on Apr 11, 2011. 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 WEST SIDE PLASTIC SURGERY, INC below.

NPI Profile for
WEST SIDE PLASTIC SURGERY, INC

NPI Number
1730380775
Enumeration Date

(more than 19 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
WEST SIDE PLASTIC SURGERY, INC
Primary location
960 JOHNSON FERRY RD N.E.
SUITE 336
ATLANTA, GA 30342
Phone: (404) 805-5535 Fax: (866) 935-5995
Mailing address
4480 S COBB DR SE STE H
BOX 323
SMYRNA, GA 30080-6984
Phone: (404) 805-5535 Fax: (866) 935-5995
Organization Subpart
No
Authorized Official
VETRA GIPSON
OWNER
Phone: (404) 805-0646
Updated
Identifiers

Identifiers for WEST SIDE PLASTIC SURGERY, INC

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
MEDICAIDGA000963102B
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
2086S0122X
- Surgery / Plastic and Reconstructive Surgery (Primary)		 GA 50518

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.