PLASTIC SURGERY CLINIC, PLLC
NPI 1508903931
Specialist in Franklin, TN
About Plastic Surgery Clinic, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PLASTIC SURGERY CLINIC, PLLC (NPI 1508903931) is a healthcare organization registered as a specialist in Franklin, Tennessee and active in the NPI registry since February 2007. The organization lists John Reagan Moore, Sole Properitor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 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)
Plastic Surgery Clinic, 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 Plastic Surgery Clinic, 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 Plastic Surgery Clinic, PLLC's NPI number?
The NPI number for Plastic Surgery Clinic, PLLC is 1508903931. It was assigned to this organization in the NPPES registry on February 1, 2007.
Where is Plastic Surgery Clinic, PLLC located?
Plastic Surgery Clinic, PLLC is located at 1909 Mallory Ln, Franklin, TN 37067. The listed phone number is (615) 771-7718.
What is Plastic Surgery Clinic, PLLC's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Plastic Surgery Clinic, PLLC enrolled in Medicare?
Yes. Plastic Surgery Clinic, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Plastic Surgery Clinic, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Plastic Surgery Clinic, 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 Plastic Surgery Clinic, PLLC was last updated on December 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Plastic Surgery Clinic, Pllc · NPI 1508903931
Specialist organization in Franklin, Tennessee. Organization record, active in the CMS NPPES registry since February 1, 2007.
## Identity
- **NPI:** 1508903931 (Entity type: Organization)
- **Enumerated:** February 1, 2007
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** John Moore, SOLE PROPERITOR
## Practice location
- **Address:** 1909 MALLORY LN, Franklin, TN 37067-2830
- **Phone:** (615) 771-7718 · **Fax:** (615) 771-6889
## 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:** December 8, 2008
- **Other identifiers:** Medicare UPIN 3086254 (TN)
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Source: [NPI Profile](https://npiprofile.com/npi/1508903931) · Data from the CMS NPPES public registry.