Forma Medical Aesthetics
NPI 1114511821 · Internal Medicine Physician · Roswell, GA
Forma Medical Aesthetics is a Internal Medicine Physician organization in Roswell, GA (NPI 1114511821).
Provider details
- NPI number
- 1114511821
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Clarence Morgan, Medical Director(770) 568-0092
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
Mailing address
Registry dates
- Enumerated
- 2021-02-23
- Last updated
- 2021-02-23
- Certified
- 2021-02-23
Frequently asked questions
- What is Forma Medical Aesthetics's NPI number?
- Forma Medical Aesthetics's National Provider Identifier (NPI) is 1114511821, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Forma Medical Aesthetics?
- Forma Medical Aesthetics is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Forma Medical Aesthetics located?
- Forma Medical Aesthetics's practice location on file with NPPES is 1124 Canton St, Roswell, GA 30075-3642.
- What is Forma Medical Aesthetics's phone number?
- The practice phone number listed in the NPPES registry for Forma Medical Aesthetics is (770) 568-0092.
- Who is the authorized official for Forma Medical Aesthetics?
- The authorized official listed on Forma Medical Aesthetics's NPPES record is Clarence Morgan, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Forma Medical Aesthetics's NPI active?
- Yes — Forma Medical Aesthetics's NPI (1114511821) is active in the NPPES registry as of the last update on 2021-02-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.