P Praxis·MD
● Active Type 1 · Individual

DR. Roy Powell, MD

Plastic Surgery·MacOn, GA· NPI 1912905050 · Enumerated 2005 · 20 years on NPI
Powell is 1 of 5 plastic surgery providers in MacOn and 1 of 284 in Georgia.
NPI age
20 years
Enumerated 2005-07-12
Primary specialty
Plastic Surgery
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
Not specified
May be part of a larger org

How this provider compares

Across 284 active plastic surgery providers in Georgia.

NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
21% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-07Enumerated in NPPES
2005 2026

Where they practice

Practice location
4030 Riverside Park Blvd
MacOn, GA 312101365
📞 4784742200fax 4783140740
Mailing address
4030 Riverside Park Blvd
MacOn, GA 312101365
📞 4784742200fax 4783140740

Specialties

  • Plastic Surgery Primary
    A 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...
    GA license #19981 taxonomy 208200000X

Identifiers

TypeValueNotes
05 (GA) 00306545A

Practice context

Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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