Plastic SurgeryIndex

Juan Lopez, MD

Plastic surgery clinician in Fort Eisenhower, GA

Registered providerLicense # listed (GA)

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Public-record details

Address
300 W Hospital Rd, Fort Eisenhower, GA 30905
Phone
(706) 787-1164
Listed under
Individual clinicians
NPI
1053473504
NPI status
Active in the NPPES registry
Provider type
Individual provider
Registered specialty (self-reported taxonomy)
Plastic Surgery (208200000X)
Credentials listed
MD
License number on NPI record
74518 (GA)
NPI first issued
Dec 14, 2006
NPI record last updated
Mar 10, 2025

NPI 1053473504 is active in the federal NPPES registry (CMS); license 74518 (GA) is listed on the record. Source: NPPES NPI Registry (CMS) (record). Data as of 2026-11-08.

What these registry facts mean

The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an individual clinician. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it. Plastic surgery here is the specialty the provider chose when registering for an NPI. It is not board certification and NPPES does not check it. To check board certification, use the American Board of Plastic Surgery's verification tool, and confirm the medical license with the state board.

View NPI 1053473504 in the official registry ↗

Registered specialty is not board certification. Verify the license with the state medical board and board certification with the American Board of Plastic Surgery, and ask whether the facility is accredited and who gives anesthesia.