Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053473504 Individual Practitioner Male Practitioner

Dr. Juan Manuel Lopez , MD

Plastic Surgery • Fort Eisenhower, GA

Professional Overview & Biography Verified Profile Summary

Dr. Juan Lopez, MD is a registered healthcare professional specializing in Plastic Surgery in Fort Eisenhower, GA. Practice services are available at 300 W HOSPITAL RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

300 W Hospital Rd

Fort Eisenhower, GA 309055741

Telephone 7067871164

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Fort Eisenhower, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.5 Yrs
Regional Practice Density
1 Specialists

Practicing in Fort Eisenhower, GA (190 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-03-10
Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License GA 74518

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Plastic Surgery

NUCC Taxonomy Code: 208200000X

State License FL ME74668

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1043944739

Doctor of Osteopathic Medicine (D.O.)

Dr. Morgan Ingram , DO

Student in an Organized Health Care Education/Training Program

NPI 1063270544

Doctor of Osteopathic Medicine (D.O.)

Kevin Zieran , PTA

Physical Therapy Assistant

NPI 1073169330

Physical Therapist Assistant

Dr. Rakesh Sharma , DO

Family Medicine

NPI 1083761159

Doctor of Osteopathic Medicine (D.O.)

NPI 1093496671

Doctor of Dental Medicine

Geraldine Nkwain , BSN, RN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1104306786

Bachelor of Science in Nursing, Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location March 10, 2025

Registered at 300 W HOSPITAL RD, FORT EISENHOWER, GA 309055741 (Tel: 7067871164)

📍
Updated Business Mailing Address March 10, 2025

Registered at 300 W HOSPITAL RD, FORT EISENHOWER, GA 309055741 (Tel: 7067871164)

NPI Profile Active April 27, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 27, 2017

Registered at 3675 J DEWEY GRAY CIR STE 300, AUGUSTA, GA 309091868 (Tel: 7068639595)

📍
Updated Business Mailing Address April 27, 2017

Registered at PO BOX 3726, AUGUSTA, GA 309143726 (Tel: 7068639595)

👤
Provider Name / Credentials Updated April 27, 2017

Recorded as JUAN LOPEZ, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 27, 2017

Plastic Surgery (License #ME74668 in FL)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 300 W HOSPITAL RD, FORT GORDON, GA 309055741 (Tel: 7067871164)

📍
Updated Business Mailing Address July 08, 2007

Registered at 300 W HOSPITAL RD, FORT GORDON, GA 309055741 (Tel: 7067871164)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JUAN LOPEZ, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Plastic Surgery (License #ME 74668 in FL)

🟢
Initial NPI Registration & Enumeration December 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Juan Lopez. Be the first to share your experience!

Sign in to leave a review for Dr. Juan Lopez

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1053473504
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 14, 2006
Last Update: March 10, 2025
Sole Proprietor: No

Mailing Address

300 W Hospital Rd

Fort Eisenhower, GA 309055741

Phone: 7067871164

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.