Plastic and Reconstructive Surgery PC
NPI 1215167580 · Legal Medicine · Johnson City, TN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Plastic and Reconstructive Surgery PC is a Legal Medicine organization in Johnson City, TN (NPI 1215167580).
Provider details
- NPI number
- 1215167580
- Entity type
- Organization
- Primary specialty
- Legal MedicineOther Service Providers
- Organization subpart
- No
- Authorized official
- Laurie Webb, Insurance Manager(423) 328-9000
- License
- MD0000025117 (TN)
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-07-21
- Last updated
- 2019-11-13
Frequently asked questions
- What is Plastic and Reconstructive Surgery PC's NPI number?
- Plastic and Reconstructive Surgery PC's National Provider Identifier (NPI) is 1215167580, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Plastic and Reconstructive Surgery PC?
- Plastic and Reconstructive Surgery PC is classified in the NPPES registry as Legal Medicine (Other Service Providers).
- Where is Plastic and Reconstructive Surgery PC located?
- Plastic and Reconstructive Surgery PC's practice location on file with NPPES is 1303 Sunset Dr Ste 5, Johnson City, TN 37604-7905.
- What is Plastic and Reconstructive Surgery PC's phone number?
- The practice phone number listed in the NPPES registry for Plastic and Reconstructive Surgery PC is (423) 328-9000.
- Does Plastic and Reconstructive Surgery PC accept Medicare?
- Plastic and Reconstructive Surgery PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Plastic and Reconstructive Surgery PC?
- The authorized official listed on Plastic and Reconstructive Surgery PC's NPPES record is Laurie Webb, Insurance Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Plastic and Reconstructive Surgery PC's NPI active?
- Yes — Plastic and Reconstructive Surgery PC's NPI (1215167580) is active in the NPPES registry as of the last update on 2019-11-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.