Organization Active NPI

McGee Plastic Surgery, PLLC

  • Plastic Surgery Physician
  • Lafayette, LA
National Provider Identifier
1144005307
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
MCGEE PLASTIC SURGERY, PLLC
Practice address
605 Silverstone Rd Ste 106a
Lafayette, LA 70508-6899
Phone
(337) 205-2262
Fax
(337) 270-7039
NPI assigned
Aug 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Authorized official

Name
Mr. Jack McGee, JD
Title
Clinic Manager
Phone
(337) 303-7299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

605 Silverstone Rd Ste 106a
Lafayette, LA 70508-6899

Mailing address

605 Silverstone Rd Ste 106a
Lafayette, LA 70508-6899
Phone (337) 534-4058

Other names 1

  • McGee Plastic Surgery Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231222001251 LA Part B Supplier - Clinic/Group Practice 4183074701 Receives reassigned benefits from 1 practitioner
Practice locations: Lafayette, LA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2330469McGee Plastic Surgery605 Silverstone Rd, Ste 106a, Lafayette, LA 70508Certificate of waiverSep 15, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1144005307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 SILVERSTONE RD STE 106A",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086899",
            "telephone_number": "337-534-4058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 SILVERSTONE RD STE 106A",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086899",
            "telephone_number": "337-205-2262",
            "fax_number": "337-270-7039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCGEE PLASTIC SURGERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-28",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "MCGEE",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "337-303-7299",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McGee Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "McGee Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.