SAVANNAH RIVER PLASTIC SURGERY – NPI #1801133699
Surgery

A surgeon who specializes in plastic and reconstructive surgery.

Health Care Provider Taxonomy Code for Surgery

SAVANNAH RIVER PLASTIC SURGERY is a surgeon located in AUGUSTA, GA. NPPES has assigned the NPI number 1801133699 to SAVANNAH RIVER PLASTIC SURGERY on January 14, 2013. 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 4 years ago on Mar 16, 2022. 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 SAVANNAH RIVER PLASTIC SURGERY below.

NPI Profile for
SAVANNAH RIVER PLASTIC SURGERY

NPI Number
1801133699
Enumeration Date

(more than 13 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
SAVANNAH RIVER PLASTIC SURGERY
Primary location
820 ST. SEBASTIAN WAY
SUITE 1A
AUGUSTA, GA 30901-2635
Phone: (706) 651-8400 Fax: (706) 651-8868
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BILLY LYNN
OWNER
Phone: (706) 651-8400
Updated
Certification Date
Mar 16, 2022

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 SAVANNAH RIVER 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
MEDICAIDGA000445717A
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 024290

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.