Cordray Plastic Surgery LLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

22185 Issued in SC

Legal business name

CORDRAY PLASTIC SURGERY LLC

Practice address

2093 Henry Tecklenburg Dr Ste 304
Charleston, SC 29414-5743

Phone

(843) 718-2334

Fax

(843) 277-2067

NPI assigned

Feb 22, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Tracy L Cordray, M.D.NPI 1346432614

Title

Owner/Physician

Phone

(843) 718-2334

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 1

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

• Tracy Leigh Cordray, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Charleston, SC
  • NPI 1346432614

  Plastic Surgery

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1487721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781568000000",
    "number": "1225577265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2093 HENRY TECKLENBURG DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145741",
            "telephone_number": "843-718-2334",
            "fax_number": "843-277-2067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2093 HENRY TECKLENBURG DR STE 304",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145743",
            "telephone_number": "843-718-2334",
            "fax_number": "843-277-2067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORDRAY PLASTIC SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-22",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A",
        "authorized_official_last_name": "CORDRAY",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "843-718-2334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "SC",
            "license": "22185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOLE PROPRIETOR NPI-TYPE 1",
            "identifier": "1346432614",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "22185",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30236309",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Ann Corcoran, FNP-C
• Catherine Elizabeth Cordeiro, FNP
• Christopher Thomas Cordeiro
• Cordes G Simpson LPC LLC
• Lisa Cordes, PHARMD
• Belinda Liles Cordray, DMD
• John W Cordray Jr., DMD
• Tracy Leigh Cordray, M.D.
• Core Counseling LLC
• Brooke Corey, CRNA

• Plastic Surgery Physician in Charleston, SC
• Providers in Charleston, SC by specialty
• Plastic Surgery Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.