Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Northeast Georgia Plastic Surgery Associates, Plastic Surgery Center

Organization Ambulatory Surgical Clinic/Center · NPI 1023039385

Northeast Georgia Plastic Surgery Associates, Plastic Surgery Center provides Ambulatory Surgical Clinic/Center services in Gainesville, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006

Practice location Address checks out

1296 Sims St Ste B
Gainesville, GA 30501-3850
Phone: (770) 534-1856
Fax: (770) 531-0355
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X · Licence 069-037 (GA)

Record details

NPI number1023039385
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Richwine — Medical Director · (770) 534-1856
NPI enumeratedJuly 22, 2006
Last updated in NPPESAugust 22, 2020
Certification dateJuly 15, 2020
Mailing address1296 Sims St, Suite B, Gainesville, GA 30501-3850

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