Healthcare Provider Details

I. General information

NPI: 1518879022
Provider Name (Legal Business Name): MEDICAL AESTHETIC ARTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 SMOKETREE CT STE 800
RALEIGH NC
27604-1050
US

IV. Provider business mailing address

3100 SMOKETREE CT STE 800
RALEIGH NC
27604-1050
US

V. Phone/Fax

Practice location:
  • Phone: 844-943-6191
  • Fax: 844-943-6191
Mailing address:
  • Phone: 844-943-6191
  • Fax: 844-943-6191

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: DR. JOSEPH JONES
Title or Position: DIRECTOR
Credential: MD
Phone: 844-943-6191