MIDTOWN PLASTIC SURGERY, LLC
NPI 1790939783
Plastic Surgery in Atlanta, GA

NPI Status: Active since November 04, 2008

Contact Information

1418 DRESDEN DR NE STE 120
ATLANTA, GA
ZIP 30319
Phone: (404) 754-1994
Fax: (770) 783-8975

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  • Organization
  • Plastic Surgery

About MIDTOWN PLASTIC SURGERY, LLC

This page provides the complete NPI Profile along with additional information for Midtown Plastic Surgery, Llc, a provider established in Atlanta, Georgia operating as a Plastic Surgery. The healthcare provider is registered in the NPI registry with number 1790939783 assigned on November 2008. The practitioner's primary taxonomy code is 208200000X with license number 046220 (GA). The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Puli Pravin Reddy M.d. (President)

NPI
1790939783
Provider Name
MIDTOWN PLASTIC SURGERY, LLC
Entity Type
Organization
Location Address
1418 DRESDEN DR NE STE 120 ATLANTA, GA 30319
Location Phone
(404) 754-1994
Location Fax
(770) 783-8975
Mailing Address
925B PEACHTREE ST NE UNIT 375 ATLANTA, GA 30309
Mailing Phone
(404) 754-1994
Mailing Fax
(770) 783-8975
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-04-2008
Last Update Date
09-03-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Plastic Surgery

Taxonomy Code
208200000X
Type
Allopathic & Osteopathic Physicians
License No.
046220
License State
GA
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

PULI PRAVIN REDDY M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(404) 754-1994

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1487835260OTHER (01)GANPI INDIVIDUAL

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1790939783
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2718018318716
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 8 + 0 + 1 + 8 + 3 + 1 + 8 + 7 + 1 + 6 + 24 = 77
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 77 = 33

The NPI number 1790939783 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1710457049BROOKHAVEN AESTHETIC INSTITUTE
Organization
Plastic Surgery1418 DRESDEN DR NE STE 120
BROOKHAVEN, GA 30319
(404) 481-5089
1043716392BROOKHAVEN AESTHESTIC INSTITUTE
Organization
Plastic Surgery1418 DRESDEN DR NE STE 120
BROOKHAVEN, GA 30319
(404) 481-5089

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790939783, enumerated in the NPI registry as an "organization" on November 04, 2008

The provider is located at 1418 Dresden Dr Ne Ste 120 Atlanta, Ga 30319 and the phone number is (404) 754-1994

This medical organization specializes in Plastic Surgery with taxonomy code 208200000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on November 04, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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