P Praxis·MD
● Active Type 2 · Organization

Fayette Plasticsurgery Center Llc

Clinic/Center·Fayetteville, GA· NPI 1639416365 · Enumerated 2013 · 13 years on NPI
Fayette Plasticsurgery Center Llc is 1 of 602 clinic/center organizations in Georgia.
NPI age
13 years
Enumerated 2013-01-15
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Raniere
Vice President
Last NPPES update
2013-01-15
Source: monthly bulk 2026-05

How this organization compares

Across 602 active clinic/center providers in Georgia.

NPI age
13 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2013 → 2026

2013-01Enumerated in NPPES
2013 2026

Where they practice

Primary practice location
874 Lanier Ave W, Suite 100
Fayetteville, GA 302147662
📞 7704614000fax 7706037040
Mailing address
874 Lanier Ave W, Suite 100
Fayetteville, GA 302147662
📞 7704614000fax 7706037040

Authorized official

Joseph Raniere, M.D.
Vice President
📞 7704614000

Specialties

  • Clinic/Center Primary
    Definition to come...
    GA license #12056659 taxonomy 261QA1903X

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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