P Praxis·MD
● Active Type 2 · Organization

Southeastern Aesthetic And Reconstructive Surgery

Surgery·Newnan, GA· NPI 1093255044 · Enumerated 2017 · 9 years on NPI
Southeastern Aesthetic And Reconstructive Surgery is 1 of 127 surgery organizations in Georgia.
NPI age
9 years
Enumerated 2017-02-24
Primary specialty
Surgery
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Durden
Physician
Last NPPES update
2017-02-24
Source: monthly bulk 2026-05

How this organization compares

Across 127 active surgery providers in Georgia.

NPI age
9 years
↓ 8 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2017 → 2026

2017-02Enumerated in NPPES
2017 2026

Where they practice

Primary practice location
155 Greenville St
Newnan, GA 302632630
📞 4046427722
Mailing address
155 Greenville St
Newnan, GA 302632630
📞 4046427722

Authorized official

Frederick Letois Durden, M.D.
Physician
📞 4046427722

Specialties

  • Surgery Primary
    A surgeon who specializes in plastic and reconstructive surgery.
    GA license #65539 taxonomy 2086S0122X

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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