OrganizationActive
Atlanta Breast Reconstruction
NPI 1114422250 · Orthopaedic Surgery Physician · Atlanta, GA
Provider details
- NPI number
- 1114422250
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mathew James, Patient Accounts(631) 827-8159
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2795 Peachtree Rd Ne Unit 309
Atlanta, GA 30305-3672
Phone: (631) 827-8159
Street-level locationGet directions
Mailing address
2795 Peachtree Rd Ne Unit 309
Atlanta, GA 30305-3672
Registry dates
- Enumerated
- 2018-03-29
- Last updated
- 2018-03-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.