GOLDMAN CENTER FOR FACIAL PLASTIC SURGERY PLLC
NPI 1750625927
Otolaryngology - Facial Plastic Surgery in Boone, NC

Active since November 12, 2012
717 GREENWAY RD, SUITE A, BOONE, NC 28607(828) 278-9230(828) 263-5686 Get Directions Write a Review

NPPES record last updated: January 21, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Goldman Center For Facial Plastic Surgery Pllc NPPES

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

GOLDMAN CENTER FOR FACIAL PLASTIC SURGERY PLLC (NPI 1750625927) is a healthcare organization registered as a facial plastic surgery in Boone, North Carolina and active in the NPI registry since November 2012. The organization maintains a secondary practice location in Clemmons and lists Jennifer Kozak, Administrator, as its authorized official.

NPPES Registry Identity

NPI1750625927
Entity TypeOrganization
Primary Taxonomy207YS0123X
Legal Business NameGOLDMAN CENTER FOR FACIAL PLASTIC SURGERY PLLC
Location Address717 GREENWAY RD, SUITE ABoone, NC 28607-4903
Mailing Address717 Greenway Road, Suite ABoone, NC 28607 · (828) 278-9230 · Fax (828) 263-5686
Fax(828) 263-5686
Organization SubpartNo
Authorized OfficialJennifer KozakAdministrator · (828) 278-9230
Enumeration DateNovember 12, 2012
Last NPPES UpdateJanuary 21, 2025
NPPES CertifiedJanuary 21, 2025
✔ NPI 1750625927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YS0123X
License✔ Licensed in NC · 9901411
Definition
An otolaryngologist who specializes in facial plastic surgery.
717 GREENWAY RD, Boone, NC 28607

Secondary Practice Location 1

Location 16318 Jessie LnClemmons, NC 27012-9887 · Phone (336) 245-9595

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)

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

Clinician (1)

Plastic and Reconstructive Surgery
NPI 1376527754
717 GREENWAY RD STE A
Boone, NC 28607
(828) 278-9230
✔ 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 Goldman Center For Facial Plastic Surgery PLLC's NPI number?

The NPI number for Goldman Center For Facial Plastic Surgery PLLC is 1750625927. It was assigned to this organization in the NPPES registry on November 12, 2012.

Where is Goldman Center For Facial Plastic Surgery PLLC located?

Goldman Center For Facial Plastic Surgery PLLC is located at 717 Greenway Rd Suite A, Boone, NC 28607. The listed phone number is (828) 278-9230.

What is Goldman Center For Facial Plastic Surgery PLLC's specialty?

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

Is Goldman Center For Facial Plastic Surgery PLLC enrolled in Medicare?

Yes. Goldman Center For Facial Plastic Surgery PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Goldman Center For Facial Plastic Surgery PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Goldman Center For Facial 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 Goldman Center For Facial Plastic Surgery PLLC was last updated on January 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.