DR. DOUGLAS EDWARD GORMAN JR. M.D.
NPI 1699856419
Surgery - Plastic and Reconstructive Surgery in Jackson, MS

Q: What is Douglas Gorman's NPI number?

The NPI number for Douglas Gorman is 1699856419. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Q: What is Douglas Gorman's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Douglas Gorman was last updated on July 6, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since October 18, 2006

1920 CHADWICK DR, SUITE 108, JACKSON, MS 39204(601) 373-3730(601) 372-7431 Get Directions Write a Review

NPPES record last updated: July 6, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Douglas Edward Gorman Jr. M.d. NPPES

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

DR. DOUGLAS EDWARD GORMAN JR. M.D. (NPI 1699856419) is an individual plastic and reconstructive surgery provider in Jackson, Mississippi, licensed in Mississippi (08261) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1699856419

Entity TypeIndividualMale

Primary Taxonomy2086S0122X

Provider Legal NameDR. DOUGLAS EDWARD GORMAN JR.Credential: M.D.

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

Mailing Address1920 Chadwick Dr, Suite 108Jackson, MS 39204-3471 · (601) 373-3730 · Fax (601) 372-7431

Phone(601) 373-3730

Fax(601) 372-7431

Sole ProprietorNo

Enumeration DateOctober 18, 2006

Last NPPES UpdateJuly 6, 2010

✔ NPI 1699856419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedPlastic Surgery · Surgery of the HandTaxonomy 2082S0105X · License 08261 (MS)

1920 CHADWICK DR, Jackson, MS 39204

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Other Identifiers 4

Medicare UPINB65897MS

Medicare ID-Type Unspecified242948345MS · Medicare Provider #

Other640650720MS · Corp Tax Id

Medicaid00010048MS

Other Providers at the Same Location NPPES

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

PLASTIC SURGERY CENTER, P.A.

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 Douglas Gorman's NPI number?

The NPI number for Douglas Gorman is 1699856419. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Where is Douglas Gorman located?

Douglas Gorman practices at 1920 Chadwick Dr Suite 108, Jackson, MS 39204. The listed phone number is (601) 373-3730.

What is Douglas Gorman'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 Douglas Gorman was last updated on July 6, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.