Individual provider Active NPI

Neumon Taylor Goshorn, M.D.

  • Plastic Surgery Physician
  • Germantown, TN
National Provider Identifier
1073537619
Registry record updated Mar 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
19135 Issued in TN
Practice address
1364 Cordova CV
Germantown, TN 38138-2200
Phone
(901) 682-4456
Fax
(901) 207-4882
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 19135 TN Primary

Addresses

Primary practice location

1364 Cordova CV
Germantown, TN 38138-2200

Mailing address

1364 Cordova CV
Germantown, TN 38138-2200
Phone (901) 682-4456

Other practice location 1

1044 Brookfield Rd
Suite 102
Memphis, TN 38119-3877
Phone (901) 682-4456

Other identifiers 2

IdentifierTypeStateIssuer
4054019OtherTNAETNA
0084911OtherTNBLUECROSS BLUESHIELD TN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080604000275 TN Practitioner - Plastic and Reconstructive Surgery 7012087901 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Restore Plastic Surgery and Aesthetics, PLLC Plastic Surgery CurrentSince Jan 30, 2025 Accepting new patients
The Plastic Surgery Group of Memphis P.C. Plastic Surgery Past Accepting new patients

Locations

1364 Cordova Cv
Germantown, TN 38138
Phone (901) 682-4456

Interoperability endpoints

  • Direct secure messaging: ngoshorn31324@mlh.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552348800000",
    "number": "1073537619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1364 CORDOVA CV",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381382200",
            "telephone_number": "901-682-4456",
            "fax_number": "901-207-4882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1364 CORDOVA CV",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381382200",
            "telephone_number": "901-682-4456",
            "fax_number": "901-207-4882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1044 Brookfield Rd",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381193877",
            "country_code": "US",
            "telephone_number": "901-682-4456",
            "fax_number": "901-207-4882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOSHORN",
        "first_name": "NEUMON",
        "middle_name": "TAYLOR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2019-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TN",
            "license": "19135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4054019",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD TN",
            "identifier": "0084911",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.