OrganizationActive
Plastic and Reconstructive Surgery of Atlanta
NPI 1598105983 · Plastic and Reconstructive Surgery Physician · Atlanta, GA
Provider details
- NPI number
- 1598105983
- Entity type
- Organization
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Theresa Wang, Owner(917) 991-0319
- License
- 070000 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
1218 W Paces Ferry Rd Nw
Atlanta, GA 30327-2308
Phone: (917) 991-0319
Fax: (718) 672-3280
Street-level locationGet directions
Mailing address
2795 Peachtree Rd Ne
Atlanta, GA 30305-3611
Registry dates
- Enumerated
- 2013-06-28
- Last updated
- 2014-02-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.