PREMIER PLASTIC SURGERY ASSOCIATES LLC NPI 1831360296

NPI Information

  • NPI: 1831360296
  • Provider Name: PREMIER PLASTIC SURGERY ASSOCIATES, LLC
  • Classification: Surgery - 2086S0122X
  • Specialization: Plastic and Reconstructive Surgery
  • Entity Type: Organization
  • Address: 2675 N DECATUR RD
    SUITE 501
    DECATUR, GA
    ZIP 30033
  • Phone: (404) 292-4585

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NPI Details

PREMIER PLASTIC SURGERY ASSOCIATES, LLC is a plastic and reconstructive surgery surgery in Decatur, GA. The provider is a surgeon who specializes in plastic and reconstructive surgery. PREMIER PLASTIC SURGERY ASSOCIATES, LLC NPI is 1831360296. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2675 N DECATUR RD
SUITE 501
DECATUR, GA
ZIP 30033-131
Phone: (404) 292-4585
Fax: (404) 292-4588

The provider's authorized official is Vikisha Fripp .
The authorized official title is Owner and has the following contact phone number (404) 292-4585.

The enumeration date for this NPI number is 3/13/2008 and was last updated on 3/13/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0122XSurgeryPlastic and Reconstructive Surgery057460GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1I54975MEDICARE UPINGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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