P Praxis·MD
● Active Type 2 · Organization

Plastic Surgery Operative Suite, Llc

Clinic/Center·Valdosta, GA· NPI 1316121429 · Enumerated 2007 · 18 years on NPI
Plastic Surgery Operative Suite, Llc is 1 of 602 clinic/center organizations in Georgia.
NPI age
18 years
Enumerated 2007-12-26
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Parks
Practice Administrator
Last NPPES update
2015-05-05
Source: monthly bulk 2026-05

How this organization compares

Across 602 active clinic/center providers in Georgia.

NPI age
18 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2007 → 2026

2007-12Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
230 Northside Dr
Valdosta, GA 316021858
📞 2292423002
Mailing address
230 Northside Dr
Valdosta, GA 316021858

Authorized official

Mandy Parks
Practice Administrator
📞 2292423002

Individual providers at this organization

2 individual providers on file at this primary practice address.

Specialties

  • Clinic/Center Primary
    Definition to come...
    taxonomy 261QA1903X

Practice context

Multi-provider organization. 2 individual providers on file at this primary address.

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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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