Individual provider Active NPI

Seth Colton Warren, MD

  • Surgery Physician
  • Jackson, MS
National Provider Identifier
1063040905
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
35539 Issued in MS
Practice address
1190 N State St Ste 502
Jackson, MS 39202-2414
Phone
(601) 944-1781
Fax
(601) 353-0439
NPI assigned
Mar 27, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Surgery Physician 208600000X 35539 MS Primary

Addresses

Primary practice location

1190 N State St Ste 502
Jackson, MS 39202-2414

Mailing address

1190 N State St Ste 502
Jackson, MS 39202-2414
Phone (601) 944-1781

Other practice location 1

1 Baylor Plz
Houston, TX 77030-3498
Phone (713) 798-5928

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250820005014 MS Practitioner - General Surgery 5496255895 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Mississippi School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Surgical Associates PLLCGroup PAC ID 1355359506, 27 clinicians

Practice addresses (Care Compare)

1190 N State St
Suite 502
Jackson, MS 39202-2414
Phone (601) 944-1781

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Removal of tissue38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35539MSMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Surgical Associates PLLC Surgery CurrentSince Aug 1, 2025 Accepting new patients
Mississippi Baptist Medical Center, Inc. Past Accepting new patients

Locations

1190 N State St
Ste 502
Jackson, MS 39202
Phone (601) 944-1781

Interoperability endpoints

  • FHIR API: https://rxedi.bmhcc.org/prd-fhir/CSA/api/FHIR/R4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1063040905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 N STATE ST STE 502",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022414",
            "telephone_number": "601-944-1781",
            "fax_number": "601-353-0439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 N STATE ST STE 502",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022414",
            "telephone_number": "601-944-1781",
            "fax_number": "601-353-0439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Baylor Plz",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770303498",
            "country_code": "US",
            "telephone_number": "713-798-5928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARREN",
        "first_name": "SETH",
        "middle_name": "COLTON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-27",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MS",
            "license": "35539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.