PLASTIC SURGERY CLINIC, PLLC
NPI 1508903931
Specialist in Franklin, TN
NPI Status: Active since February 01, 2007
Contact Information
1909 MALLORY LN
FRANKLIN, TN
ZIP 37067
Phone: (615) 771-7718
Fax: (615) 771-6889
- Organization
- Specialist
- CLIA Number: 44D2152312
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 08-06-2026
About PLASTIC SURGERY CLINIC, PLLC
This page provides the complete NPI Profile along with additional information for Plastic Surgery Clinic, Pllc, a provider established in Franklin, Tennessee operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1508903931 assigned on February 2007. The practitioner's primary taxonomy code is 174400000X with license number MD0000019800 (TN). The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. John Reagan Moore Sr. Md (Sole Properitor)
- NPI
- 1508903931
- Provider Name
- PLASTIC SURGERY CLINIC, PLLC
- Entity Type
- Organization
- Location Address
- 1909 MALLORY LN FRANKLIN, TN 37067
- Location Phone
- (615) 771-7718
- Location Fax
- (615) 771-6889
- Mailing Address
- 1909 MALLORY LN FRANKLIN, TN 37067
- Mailing Phone
- (615) 771-7718
- Mailing Fax
- (615) 771-6889
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-01-2007
- Last Update Date
- 12-08-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- MD0000019800
- License State
- TN
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3086254 | MEDICARE UPIN (02) | TN |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 44D2152312
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- August 07, 2024
- Certificate Expiration Date
- August 06, 2026
- Laboratory Director
- KONRAD SAROSICK
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Plastic Surgery Clinic, Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 0 | 8 | 9 | 0 | 3 | 9 | 3 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 0 | 8 | 18 | 0 | 6 | 9 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 0 + 8 + 1 + 8 + 0 + 6 + 9 + 6 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1508903931 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 10 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1295824837 | MISS CINDY J SCOTT FNP Individual | Nurse Practitioner (Family) | 1909 MALLORY LN SUITE 302 FRANKLIN, TN 37067 (615) 771-3303 |
| 1750577896 | JOHN REAGAN MOORE MD Individual | Specialist | 1909 MALLORY LN STE 104 FRANKLIN, TN 37067 (615) 771-7718 |
| 1609051945 | COOL SPRINGS WOMEN'S CARE, P.C. Organization | Specialist | 1909 MALLORY LN 108 FRANKLIN, TN 37067 (615) 771-7220 |
| 1427233766 | NAOMI PASCHALL,M.D., P.C. Organization | Specialist | 1909 MALLORY LN 108 FRANKLIN, TN 37067 (615) 771-7220 |
| 1255647277 | MRS. HALEY JOHNSTON WOOD W.H.N.P. Individual | Nurse Practitioner (Women's Health) | 1909 MALLORY LN SUITE 104 FRANKLIN, TN 37067 (615) 771-7718 |
| 1649525551 | MITZI STEVENS ANP Individual | Nurse Practitioner (Adult Health) | 1909 MALLORY LN FRANKLIN, TN 37067 (615) 771-3033 |
| 1730216995 | COOL SPRINGS ALLERGY ASSOCIATES P.C. Organization | Allergy & Immunology | 1909 MALLORY LN SUITE 308 FRANKLIN, TN 37067 (615) 771-8800 |
| 1053431015 | PAUL PAPILLION M.D. Individual | Plastic Surgery | 1909 MALLORY LN SUITE 104 FRANKLIN, TN 37067 (615) 771-7718 |
| 1710955471 | ORAL AND MAXILLOFACIAL SURGERY AFFILATES Organization | Dentist (Oral and Maxillofacial Surgery) | 1909 MALLORY LN SUITE 100 FRANKLIN, TN 37067 (615) 771-1983 |
| 1649226770 | HAROLD F MOESSNER MD Individual | Allergy & Immunology | 1909 MALLORY LN SUITE 308 FRANKLIN, TN 37067 (615) 771-8800 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1508903931, enumerated in the NPI registry as an "organization" on February 01, 2007
The provider is located at 1909 Mallory Ln Franklin, Tn 37067 and the phone number is (615) 771-7718
This medical organization specializes in Specialist with taxonomy code 174400000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 44D2152312 for a "ambulatory surgery center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on February 01, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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