Magnolia Lane Plastic Surgery, LLC
NPI 1659139590ActiveOrganization· Plastic Surgery· Augusta, GA
Plastic Surgery in Augusta, Georgia, registered in NPPES in March 2024. The authorized official on file is Taylor Cato, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1659139590 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 6, 2024 |
| Last updated in NPPES | Aug 26, 2024 |
| Certified by provider | Aug 26, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Plastic Surgery Primary | 208200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (GA) |
|---|
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