SIGNATURE PLASTIC & RECONSTRUCTIVE SURGERY, PLLC
NPI 1508394990
Plastic Surgery in Charlotte, NC

Q: What is Signature Plastic & Reconstructive Surgery, PLLC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Active since May 30, 2017

13545 STEELECROFT PKWY STE 110, CHARLOTTE, NC 28278(352) 514-1524 Get Directions Write a Review

NPPES record last updated: November 4, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 4, 2022, Jul 21, 2022, Apr 12, 2018 and 1 more (4 updates tracked since 2017).

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About Signature Plastic & Reconstructive Surgery, Pllc NPPES

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

SIGNATURE PLASTIC & RECONSTRUCTIVE SURGERY, PLLC (NPI 1508394990) is a healthcare organization registered as a plastic surgery in Charlotte, North Carolina and active in the NPI registry since May 2017. The organization maintains a secondary practice location in Palm Beach Gardens and lists Melissa Marks, Manager, as its authorized official.

NPPES Registry Identity

NPI1508394990

Entity TypeOrganization

Primary Taxonomy208200000X

Legal Business NameSIGNATURE PLASTIC & RECONSTRUCTIVE SURGERY, PLLC

Location Address13545 STEELECROFT PKWY STE 110Charlotte, NC 28278-7562

Mailing Address13545 Steelecroft Pkwy Ste 110Charlotte, NC 28278-7562 · (352) 514-1524

Phone(352) 514-1524

Organization SubpartYesParent: -

Authorized OfficialMelissa MarksManager · (352) 514-1524

Enumeration DateMay 30, 2017

Last NPPES UpdateNovember 4, 20224 updates tracked since enumeration

NPPES CertifiedNovember 4, 2022

✔ NPI 1508394990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

License✔ Licensed in FL · OS14397

Definition

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.

13545 STEELECROFT PKWY STE 110, Charlotte, NC 28278

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Secondary Practice Location 1

Location 13345 Burns Rd Ste 101Palm Beach Gardens, FL 33410-4304 · Phone (561) 775-1212

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Signature Plastic & Reconstructive 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 Signature Plastic & Reconstructive Surgery, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Melissa Marks, D.O.

Plastic and Reconstructive Surgery

NPI 1518278175

13545 STEELECROFT PKWY STE 110
Charlotte, NC 28278

(352) 514-1524

✔ PECOS✔ Accepts MedicareSame address

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 Signature Plastic & Reconstructive Surgery, PLLC's NPI number?

The NPI number for Signature Plastic & Reconstructive Surgery, PLLC is 1508394990. It was assigned to this organization in the NPPES registry on May 30, 2017.

Where is Signature Plastic & Reconstructive Surgery, PLLC located?

Signature Plastic & Reconstructive Surgery, PLLC is located at 13545 Steelecroft Pkwy Ste 110, Charlotte, NC 28278. The listed phone number is (352) 514-1524.

What is Signature Plastic & Reconstructive Surgery, PLLC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Signature Plastic & Reconstructive Surgery, PLLC enrolled in Medicare?

Yes. Signature Plastic & Reconstructive Surgery, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Signature Plastic & Reconstructive Surgery, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Signature Plastic & Reconstructive 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 Signature Plastic & Reconstructive Surgery, PLLC was last updated on November 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.