P Praxis·MD
● Active Type 2 · Organization

Southern Crescent Plastic Surgery Asc

Clinic/Center·Stockbridge, GA· NPI 1942353115 · Enumerated 2007 · 19 years on NPI
Southern Crescent Plastic Surgery Asc is 1 of 602 clinic/center organizations in Georgia.
NPI age
19 years
Enumerated 2007-01-19
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Gross
Administrator
Last NPPES update
2012-02-17
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 · 2007 → 2026

2007-01Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
919 Eagles Landing Pkwy
Stockbridge, GA 302815011
📞 7703890446fax 7703893530
Mailing address
919 Eagles Landing Pkwy
Stockbridge, GA 302815011
📞 7703890446fax 7703893530

Authorized official

Alice Gross, NURSE RNFA
Administrator
📞 7703890446

Individual providers at this organization

6 individual providers on file at this primary practice address.

Specialties

  • Clinic/Center Primary
    Definition to come...
    GA license #035432 taxonomy 261QA1903X

Identifiers

TypeValueNotes
05 (GA) 00762572A

Practice context

Multi-provider organization. 6 individual providers on file at this primary address.

Provyx · Custom healthcare lists

Need all 602 Clinic/Center providers in Georgia?

Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.

Request a quote →

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.

Related