Signature Plastic & Reconstructive Surgery, PLLC
NPI 1508394990ActiveOrganization· Plastic Surgery· Charlotte, NC
Plastic Surgery in Charlotte, North Carolina, registered in NPPES in May 2017, part of -. The authorized official on file is Melissa Marks, D.O., Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1508394990 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | - |
| NPI issued | May 30, 2017 |
| Last updated in NPPES | Nov 4, 2022 |
| Certified by provider | Nov 4, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Plastic Surgery Primary | 208200000X | — | — |
| Plastic Surgery | 208200000X | OS14397 | FL |
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 (NC) |
|---|
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