COOPER SCURRY FACIAL PLASTIC SURGERY CENTER PLLC
NPI 1508556358
Otolaryngology - Facial Plastic Surgery in Winston Salem, NC

Active since May 15, 2023
855 BETHESDA RD, WINSTON SALEM, NC 27103(336) 671-1679 Get Directions Write a Review

NPPES record last updated: May 15, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Cooper Scurry Facial Plastic Surgery Center Pllc NPPES

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

COOPER SCURRY FACIAL PLASTIC SURGERY CENTER PLLC (NPI 1508556358) is a healthcare organization registered as a facial plastic surgery in Winston Salem, North Carolina and active in the NPI registry since May 2023. The organization lists William Cooper Scurry, Owner, as its authorized official.

NPPES Registry Identity

NPI1508556358
Entity TypeOrganization
Primary Taxonomy207YS0123X
Legal Business NameCOOPER SCURRY FACIAL PLASTIC SURGERY CENTER PLLC
Location Address855 BETHESDA RDWinston Salem, NC 27103-3026
Mailing Address855 Bethesda RdWinston Salem, NC 27103-3026 · (336) 671-1679
Organization SubpartNo
Authorized OfficialWilliam Cooper ScurryOwner · (336) 671-1679
Enumeration DateMay 15, 2023
NPPES CertifiedMay 13, 2023
✔ NPI 1508556358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YS0123X
Definition
An otolaryngologist who specializes in facial plastic surgery.
855 BETHESDA RD, Winston Salem, NC 27103

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)

Cooper Scurry Facial Plastic Surgery Center 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 Cooper Scurry Facial Plastic Surgery Center PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Plastic and Reconstructive Surgery
NPI 1114144979
110 CHARLOIS BLVD
Winston Salem, NC 27103
(336) 768-3361
✔ PECOS✔ Accepts Medicare0.5 mi

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 Cooper Scurry Facial Plastic Surgery Center PLLC's NPI number?

The NPI number for Cooper Scurry Facial Plastic Surgery Center PLLC is 1508556358. It was assigned to this organization in the NPPES registry on May 15, 2023.

Where is Cooper Scurry Facial Plastic Surgery Center PLLC located?

Cooper Scurry Facial Plastic Surgery Center PLLC is located at 855 Bethesda Rd, Winston Salem, NC 27103. The listed phone number is (336) 671-1679.

What is Cooper Scurry Facial Plastic Surgery Center PLLC's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

Is Cooper Scurry Facial Plastic Surgery Center PLLC enrolled in Medicare?

Yes. Cooper Scurry Facial Plastic Surgery Center PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cooper Scurry Facial Plastic Surgery Center PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Cooper Scurry Facial Plastic Surgery Center 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 Cooper Scurry Facial Plastic Surgery Center PLLC was last updated on May 15, 2023. 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.