P Praxis·MD
● Active Type 2 · Organization

Spa Medical Llc

Surgery·MacOn, GA· NPI 1427668342 · Enumerated 2020 · 5 years on NPI
Spa Medical Llc is 1 of 127 surgery organizations in Georgia.
NPI age
5 years
Enumerated 2020-08-05
Primary specialty
Surgery
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Harper
Owner
Last NPPES update
2020-10-06
Source: monthly bulk 2026-05

How this organization compares

Across 127 active surgery providers in Georgia.

NPI age
5 years
↓ 12 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2020 → 2026

2020-08Enumerated in NPPES
2020 2026

Where they practice

Primary practice location
455 Plum St
MacOn, GA 312013368
📞 4787432209
Mailing address
455 Plum St
MacOn, GA 312013368
📞 4787432209

Authorized official

Kenneth Earl Harper, MD
Owner
📞 4787432472

Specialties

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

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Aesthetic Center for Plastic Surgery
    Type code 3 recorded 2020-08-05

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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