OrganizationActive
Marietta Plastic Surgery
NPI 1316165723 · Plastic and Reconstructive Surgery Physician · Marietta, GA
Provider details
- NPI number
- 1316165723
- Entity type
- Organization
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Donna Bockhorst, Practice Administrator(770) 425-0118
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
823 Campbell Hill St Nw
Marietta, GA 30060-1144
Phone: (770) 425-0118
Fax: (770) 426-1626
Street-level locationGet directions
Mailing address
823 Campbell Hill St Nw
Marietta, GA 30060-1144
Registry dates
- Enumerated
- 2007-04-23
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.