Plastic Surgery Center, P.A.
Plastic Surgery Center, P.A. is a healthcare organization registered as Plastic and Reconstructive Surgery Physician in Jackson, MS, holding Type 2 (organization) NPI 1063549178 since 2007. The authorized official on file is Diana Gorman, Vice Pres- Office Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1063549178 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Plastic Surgery Center, P.A. |
| Practice address | 1920 CHADWICK DR, SUITE 108, Jackson, MS, 39204 |
| Phone | 6013733730 |
| Enumeration date | 2007-02-27 |
| Last updated in NPPES | 2008-04-20 |
Authorized official
| Name | Diana Gorman |
|---|---|
| Title | Vice Pres- Office Manager |
| Phone | 6013733730 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 2086S0122X | Plastic and Reconstructive Surgery Physician | Primary | 08261 | MS |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05959573 | Medicaid | MS | — |
Copy-ready billing details
Provider: Plastic Surgery Center, P.A. NPI: 1063549178 Taxonomy: 2086S0122X (Plastic and Reconstructive Surgery Physician) Address: 1920 CHADWICK DR, SUITE 108, Jackson, MS, 39204
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1699856419 | Douglas Gorman | Individual | Plastic and Reconstructive Surgery Physician | Jackson, MS |
| 1871621052 | Thomas Ingram | Individual | Specialist | Jackson, MS |
Verify this record
Cross-check NPI 1063549178 against the authoritative CMS record: view Plastic Surgery Center, P.A. on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Plastic Surgery Center, P.A.?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2008-04-20.