Cordray Plastic Surgery LLC
NPI 1225577265ActiveOrganization· Plastic Surgery· Charleston, SC
Plastic Surgery in Charleston, South Carolina, registered in NPPES in February 2017. The authorized official on file is Tracy L. Cordray, M.D., Owner/Physician. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1225577265 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 22, 2017 |
| Last updated in NPPES | Jun 16, 2026 |
| Certified by provider | Jun 16, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Plastic Surgery Primary | 208200000X | 22185 | SC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (SC) |
|---|
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