NPI age
19 years
Enumerated 2006-06-06
● Active Type 2 · Organization
Subpart
Advanced Aesthetics Pc
Advanced Aesthetics Pc 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
Rodriguez
Office Manager
Last NPPES update
2012-08-23
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
874 W Lanier Ave, Ste 110
Fayetteville, GA 302147659
Mailing address
874 W Lanier Ave, Ste 100
Fayetteville, GA 302147659
Authorized official
Diane Rodriguez
Office Manager
📞 7704614000
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Paul Feldman, M.D. Plastic Surgery NPI 1588656367
- Edward Gronka, M.D. Plastic Surgery NPI 1306838099
- Joseph Raniere,jr, M.D. Plastic Surgery NPI 1891787586
Specialties
-
Clinic/Center PrimaryDefinition to come...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Advanced Aesthetics PC
Practice context
Multi-provider organization. 3 individual providers on file at this primary address.
Subpart of Advanced Aesthetics, Pc.
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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.