Organization Active NPI

Aurum Beauty Cosmetic Surgery

  • Surgery Physician
  • Rockwall, TX
National Provider Identifier
1205710159
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
AURUM BEAUTY COSMETIC SURGERY
Doing business as
Aurum Beauty Cosmetic Surgery
Practice address
2091 Summer Lee Dr Ste 101
Rockwall, TX 75032-5531
Phone
(469) 887-1508
Fax
(469) 242-9824
NPI assigned
Aug 4, 2025
Last updated
Jul 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Authorized official

Name
Mrs. Hillary M Jackson, MDNPI 1346701133
Title
Owner
Phone
(214) 893-1255

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

2091 Summer Lee Dr Ste 101
Rockwall, TX 75032-5531

Mailing address

2091 Summer Lee Dr Ste 101
Rockwall, TX 75032-5531
Phone (469) 887-1508

Other names 1

  • Aurum Beauty Cosmetic Surgery Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251205001858 TX Part B Supplier - Clinic/Group Practice 9133612344 Receives reassigned benefits from 1 practitioner
Practice locations: Rockwall, TX

National Provider Directory

National Provider Directory

Locations

610 N Coit Rd
Ste 2115
Richardson, TX 75080
Phone (214) 575-4455

2059 Summer Lee Dr
Ste N101
Rockwall, TX 75032

2091 Summer Lee Dr
Ste 101
Rockwall, TX 75032
Phone (214) 893-1255

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1754265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785283200000",
    "number": "1205710159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2091 SUMMER LEE DR STE 101",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750325531",
            "telephone_number": "469-887-1508",
            "fax_number": "469-242-9824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2091 SUMMER LEE DR STE 101",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750325531",
            "telephone_number": "469-887-1508",
            "fax_number": "469-242-9824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURUM BEAUTY COSMETIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-04",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "HILLARY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-893-1255",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aurum Beauty Cosmetic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockwall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.