Southern Indiana Aesthetic and Plastic Surgery LLC
NPI 1487765103 · Surgical Technologist · Columbus, IN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southern Indiana Aesthetic and Plastic Surgery LLC is a Surgical Technologist organization in Columbus, IN (NPI 1487765103).
Provider details
- NPI number
- 1487765103
- Entity type
- Organization
- Primary specialty
- Surgical TechnologistTechnologists, Technicians & Other Technical Service Providers
- Organization subpart
- No
- Authorized official
- Thomas Jackson, Owner(812) 376-8997
- License
- 01046379A (IN)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
- 2006-08-31
- Last updated
- 2012-12-04
Frequently asked questions
- What is Southern Indiana Aesthetic and Plastic Surgery LLC's NPI number?
- Southern Indiana Aesthetic and Plastic Surgery LLC's National Provider Identifier (NPI) is 1487765103, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Indiana Aesthetic and Plastic Surgery LLC?
- Southern Indiana Aesthetic and Plastic Surgery LLC is classified in the NPPES registry as Surgical Technologist (Technologists, Technicians & Other Technical Service Providers).
- Where is Southern Indiana Aesthetic and Plastic Surgery LLC located?
- Southern Indiana Aesthetic and Plastic Surgery LLC's practice location on file with NPPES is 2450 N Park Dr Ste B, Columbus, IN 47203-2292.
- What is Southern Indiana Aesthetic and Plastic Surgery LLC's phone number?
- The practice phone number listed in the NPPES registry for Southern Indiana Aesthetic and Plastic Surgery LLC is (812) 376-8997.
- Does Southern Indiana Aesthetic and Plastic Surgery LLC accept Medicare?
- Southern Indiana Aesthetic and Plastic Surgery LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Southern Indiana Aesthetic and Plastic Surgery LLC?
- The authorized official listed on Southern Indiana Aesthetic and Plastic Surgery LLC's NPPES record is Thomas Jackson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Indiana Aesthetic and Plastic Surgery LLC's NPI active?
- Yes — Southern Indiana Aesthetic and Plastic Surgery LLC's NPI (1487765103) is active in the NPPES registry as of the last update on 2012-12-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.