PLASTIC SURGERY CENTER, P.A.
NPI 1063549178
Surgery - Plastic and Reconstructive Surgery in Jackson, MS

Q: What is Plastic Surgery Center, P.A.'s NPI number?

The NPI number for Plastic Surgery Center, P.A. is 1063549178. It was assigned to this organization in the NPPES registry on February 27, 2007.

Q: What is Plastic Surgery Center, P.A.'s specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Active since February 27, 2007

1920 CHADWICK DR, SUITE 108, JACKSON, MS 39204(601) 373-3730 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Plastic Surgery Center, P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PLASTIC SURGERY CENTER, P.A. (NPI 1063549178) is a healthcare organization registered as a plastic and reconstructive surgery in Jackson, Mississippi and active in the NPI registry since February 2007. The organization lists Diana Gorman, Vice Pres- Office Manager, as its authorized official.

NPPES Registry Identity

NPI1063549178

Entity TypeOrganization

Primary Taxonomy2086S0122X

Legal Business NamePLASTIC SURGERY CENTER, P.A.

Location Address1920 CHADWICK DR, SUITE 108Jackson, MS 39204-3471

Mailing Address1920 Chadwick Dr, Suite 108Jackson, MS 39204-3471 · (601) 373-3730

Phone(601) 373-3730

Organization SubpartNo

Authorized OfficialDiana GormanVice Pres- Office Manager · (601) 373-3730

Enumeration DateFebruary 27, 2007

Last NPPES UpdateApril 20, 2008

✔ NPI 1063549178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0122X

License✔ Licensed in MS · 08261

Definition

A surgeon who specializes in plastic and reconstructive surgery.

1920 CHADWICK DR, Jackson, MS 39204

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Other Identifiers 1

Medicaid05959573MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DOUGLAS EDWARD GORMAN JR. M.D.

Surgery (Plastic and Reconstructive Surgery)

1920 CHADWICK DR, SUITE 108
JACKSON, MS 39204

Hinds County (601) 373-3730

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Plastic Surgery Center, P.A.'s NPI number?

The NPI number for Plastic Surgery Center, P.A. is 1063549178. It was assigned to this organization in the NPPES registry on February 27, 2007.

Where is Plastic Surgery Center, P.A. located?

Plastic Surgery Center, P.A. is located at 1920 Chadwick Dr Suite 108, Jackson, MS 39204. The listed phone number is (601) 373-3730.

What is Plastic Surgery Center, P.A.'s specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

When was this NPI record last updated?

The NPPES record for Plastic Surgery Center, P.A. was last updated on April 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.