RESILIENT PLASTIC SURGERY, PLLC
NPI 1932807682
Surgery - Plastic and Reconstructive Surgery in Fort Worth, TX
About Resilient Plastic Surgery, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RESILIENT PLASTIC SURGERY, PLLC (NPI 1932807682) is a healthcare organization registered as a plastic and reconstructive surgery in Fort Worth, Texas and active in the NPI registry since February 2023. The organization holds a CLIA Waiver certificate valid through October 19, 2027 and lists Michelle Martin Southard, Plastic & Reconstructive Surgeon, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
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)
Resilient 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 Resilient Plastic Surgery, 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.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 45D2292202
Resilient Plastic Surgery, PLLC · Fort Worth, TXFrequently 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 Resilient Plastic Surgery, PLLC's NPI number?
The NPI number for Resilient Plastic Surgery, PLLC is 1932807682. It was assigned to this organization in the NPPES registry on February 22, 2023.
Where is Resilient Plastic Surgery, PLLC located?
Resilient Plastic Surgery, PLLC is located at 800 8th Ave Ste 116, Fort Worth, TX 76104. The listed phone number is (817) 335-6363.
What is Resilient Plastic Surgery, PLLC's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.
Is Resilient Plastic Surgery, PLLC enrolled in Medicare?
Yes. Resilient Plastic Surgery, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Resilient Plastic Surgery, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Resilient 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.
Does Resilient Plastic Surgery, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D2292202) is associated with this NPI, valid through October 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Resilient Plastic Surgery, PLLC was last updated on June 21, 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.
# Resilient Plastic Surgery, Pllc · NPI 1932807682
Plastic and Reconstructive Surgery organization in Fort Worth, Texas. Organization record, active in the CMS NPPES registry since February 22, 2023.
## Identity
- **NPI:** 1932807682 (Entity type: Organization)
- **Enumerated:** February 22, 2023
- **Primary specialty:** Surgery - Plastic and Reconstructive Surgery · taxonomy 2086S0122X
- **Organization subpart:** No
- **Authorized official:** Michelle Southard, PLASTIC & RECONSTRUCTIVE SURGEON
## Practice location
- **Address:** 800 8TH AVE STE 116, Fort Worth, TX 76104-2606
- **Phone:** (817) 335-6363
## 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:** June 21, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1932807682) · Data from the CMS NPPES public registry.