NPI age
19 years
Enumerated 2006-06-17
● Active Type 2 · Organization
Center For Reconstructive Surgery
Center For Reconstructive Surgery is 1 of 602 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Alvarez
Vice-President
Last NPPES update
2007-08-10
Source: monthly bulk 2026-05
How this organization compares
Across 602 active clinic/center providers in Georgia.
NPI age
19 years
↑ 4 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-06Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
7130 Mount Zion Blvd, Suite 14
Jonesboro, GA 302362518
Mailing address
7130 Mount Zion Blvd, Suite 14
Jonesboro, GA 302362518
Authorized official
Gregory Alvarez, DPM
Vice-President
📞 7704876716
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Sade Albino, PTA Physical Therapy Assistant NPI 1225581580
- Dody Deavours, PT Physical Therapist NPI 1487733739
- Angela Okafor, PT Physical Therapist NPI 1497772438
Specialties
-
Clinic/Center PrimaryDefinition to come...
Practice context
Multi-provider organization. 3 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.