P Praxis·MD
● Active Type 1 · Individual

DR. Juan Manuel Lopez, MD

Plastic Surgery·Fort Eisenhower, GA· NPI 1053473504 · Enumerated 2006 · 19 years on NPI
Lopez is 1 of 1 plastic surgery providers in Fort Eisenhower and 1 of 284 in Georgia.
NPI age
19 years
Enumerated 2006-12-14
Primary specialty
Plastic Surgery
Plus 1 subspecialty
Licensed in
GA, FL
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-03-10
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 284 active plastic surgery providers in Georgia.

NPI age
19 years
≈ at median (18 yr)
State licenses
2 states
Top 89% — 10% of peers are multi-state
Subspecialties
0
21% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-12Enumerated in NPPES
2006 2026

Where they practice

Practice location
300 W Hospital Rd
Fort Eisenhower, GA 309055741
📞 7067871164
Mailing address
300 W Hospital Rd
Fort Eisenhower, GA 309055741
📞 7067871164

Specialties

  • Plastic Surgery Primary
    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...
    GA license #74518FL license #ME74668 taxonomy 208200000X

Practice context

Part of a multi-provider practice. 65 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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