OrganizationActive
Avenue Aesthetic and Reconstructive Surgery LLC
NPI 1336912021 · Medical Specialty Clinic/Center · Athens, GA
Provider details
- NPI number
- 1336912021
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jessica Bavani, Office Manager(706) 363-0256
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
489 N Milledge Ave
Athens, GA 30601-3807
Phone: (706) 363-0256
Fax: (706) 622-4360
Street-level locationGet directions
Mailing address
489 N Milledge Ave
Athens, GA 30601-3807
Other names (DBA / former)
- Doing business as
- Avenue Aesthetic and Reconstructive Surgery
Registry dates
- Enumerated
- 2023-11-03
- Last updated
- 2023-11-03
- Certified
- 2023-11-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.