DR. DOUGLAS EDWARD GORMAN M.D. NPI 1699856419

NPI Information

  • NPI: 1699856419
  • Provider Name: DR. DOUGLAS EDWARD GORMAN, M.D.
  • Classification: Surgery - 2086S0122X
  • Specialization: Plastic and Reconstructive Surgery
  • Entity Type: Individual
  • Address: 1920 CHADWICK DR
    SUITE 108
    JACKSON, MS
    ZIP 39204
  • Phone: (601) 373-3730

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NPI Details

DR. Douglas Edward Gorman, M.D. is a plastic and reconstructive surgery surgery in Jackson, MS. The provider is a surgeon who specializes in plastic and reconstructive surgery. DR. Douglas Edward Gorman, M.D. NPI is 1699856419. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1920 CHADWICK DR
SUITE 108
JACKSON, MS
ZIP 39204-471
Phone: (601) 373-3730
Fax: (601) 372-7431

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less (HCPCS:14040)
  • Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less (HCPCS:14020)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)

The enumeration date for this NPI number is 10/18/2006 and was last updated on 7/6/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12082S0105XPlastic SurgerySurgery of the Hand08261MISSISSIPPINo
22086S0122XSurgeryPlastic and Reconstructive Surgery08261MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1B65897MEDICARE UPINMISSISSIPPI
2242948345MEDICARE ID-TYPE UNSPECIFIEDMISSISSIPPIMEDICARE PROVIDER #
3640650720OTHERMISSISSIPPICORP TAX ID
400010048MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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