NPI age
19 years
Enumerated 2007-04-23
● Active
Type 1 · Individual
DR. Nilton D Medina, MD
Medina is 1 of 2 plastic surgery providers in Loganville and 1 of 284 in Georgia.
Primary specialty
Plastic Surgery
Plus 1 subspecialty
Licensed in
GA, MA
2 states
Status
Active
No deactivations on record
Last NPPES update
2023-06-06
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 · 2007 → 2026
2007-04Enumerated in NPPES
2007
2026
Where they practice
Practice location
367 Athens Hwy Ste 100
Loganville, GA 300522207
Mailing address
367 Athens Hwy Ste 100
Loganville, GA 300522207
Additional practice locations
1 secondary location on file with NPPES.
Location 2
371 E Paces Ferry Rd Ne Unit 450
Atlanta, GA 303052372
Specialties
-
Plastic Surgery PrimaryA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (MA) | 110086073A |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.