MIDSOUTH PLASTIC SURGERY PLLC
NPI 1376332387
Surgery - Plastic and Reconstructive Surgery in Jackson, TN
About Midsouth Plastic Surgery Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIDSOUTH PLASTIC SURGERY PLLC (NPI 1376332387), doing business as Midsouth Plastic Surgery, is a healthcare organization registered as a plastic and reconstructive surgery in Jackson, Tennessee and active in the NPI registry since May 2025. The organization maintains a secondary practice location in Memphis and lists Jordi Puente Espel, Medical Doctor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Midsouth Plastic Surgery Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Midsouth Plastic Surgery PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Midsouth Plastic Surgery PLLC's NPI number?
The NPI number for Midsouth Plastic Surgery PLLC is 1376332387. It was assigned to this organization in the NPPES registry on May 5, 2025. The provider is doing business as Midsouth Plastic Surgery.
Where is Midsouth Plastic Surgery PLLC located?
Midsouth Plastic Surgery PLLC is located at 365 N Parkway Ste 200, Jackson, TN 38305. The listed phone number is (731) 426-3411.
What is Midsouth Plastic Surgery PLLC's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.
Is Midsouth Plastic Surgery PLLC enrolled in Medicare?
Yes. Midsouth Plastic Surgery PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Midsouth Plastic Surgery PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Midsouth Plastic Surgery PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Midsouth Plastic Surgery PLLC was last updated on May 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.
# Midsouth Plastic Surgery Pllc · NPI 1376332387
Plastic and Reconstructive Surgery organization in Jackson, Tennessee. Organization record, active in the CMS NPPES registry since May 5, 2025.
## Identity
- **NPI:** 1376332387 (Entity type: Organization)
- **Enumerated:** May 5, 2025
- **Primary specialty:** Surgery - Plastic and Reconstructive Surgery · taxonomy 2086S0122X
- **Also known as:** MIDSOUTH PLASTIC SURGERY (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Jordi Puente Espel, MEDICAL DOCTOR
## Practice location
- **Address:** 365 N PARKWAY STE 200, Jackson, TN 38305-2876
- **Phone:** (731) 426-3411
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Plastic and Reconstructive Surgery) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 26, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1376332387) · Data from the CMS NPPES public registry.