Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1679100697 Individual Practitioner Male Practitioner

Dr. Samuel Kogan , MD, PhD

Plastic Surgery • Mooresville, NC

Professional Overview & Biography Verified Profile Summary

Dr. Samuel Kogan, MD, PhD is a registered healthcare professional specializing in Plastic Surgery in Mooresville, NC. Practice services are available at 170 MEDICAL PARK RD STE 210 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

170 Medical Park Rd Ste 210

Mooresville, NC 281178583

Telephone 7046630006
Associated Practice Facility / Clinic
🏢 Mooresville Ppm Llc Facility NPI 1598032849

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Mooresville, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.7 Yrs
Regional Practice Density
1 Specialists

Practicing in Mooresville, NC (147 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-08-05
Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License NC 2026-01745

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Surgery - Plastic and Reconstructive Surgery

NUCC Taxonomy Code: 2086S0122X

State License NC 2026-01745

A surgeon who specializes in plastic and reconstructive surgery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Kristen Mason , APRN

Nurse Practitioner

NPI 1245829456

Advanced Practice Registered Nurse

NPI 1821073149

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location August 05, 2026

Registered at 170 MEDICAL PARK RD STE 210, MOORESVILLE, NC 281178583 (Tel: 7046630006)

📍
Updated Business Mailing Address August 05, 2026

Registered at 170 MEDICAL PARK RD STE 210, MOORESVILLE, NC 281178583 (Tel: 7046630006)

📍
Updated Practice Location July 01, 2026

Registered at 171 FAIRVIEW RD, MOORESVILLE, NC 281179500 (Tel: 7046604000)

📍
Updated Business Mailing Address July 01, 2026

Registered at 171 FAIRVIEW RD, MOORESVILLE, NC 281179500

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2026

Surgery (License #2026-01745 in NC)

NPI Profile Active March 27, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location March 27, 2020

Registered at MEDICAL CENTER BOULEVARD, WINSTON SALEM, NC 271570001 (Tel: 3367164171)

📍
Updated Business Mailing Address March 27, 2020

Registered at 264 HAMPSHIRE CT, PISCATAWAY, NJ 088546243

👤
Provider Name / Credentials Updated March 27, 2020

Recorded as SAMUEL KOGAN, MD/PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 27, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 27, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Samuel Kogan. Be the first to share your experience!

Sign in to leave a review for Dr. Samuel Kogan

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1679100697
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 27, 2020
Last Update: August 05, 2026
Sole Proprietor: No

Mailing Address

170 Medical Park Rd Ste 210

Mooresville, NC 281178583

Phone: 7046630006

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.