Active NPI
Michael G Kanosky, M.D.
- Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
- Flowood, MS
National Provider Identifier
1124050950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
- License
- 12693
- Practice address
- 2550 Flowood Dr
Suite 200
Flowood, MS 39232-9303 - Phone
- (601) 939-9999
- Fax
- (601) 939-0590
- NPI assigned
- Jul 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 12693 | MS | |
| Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician | 2082S0099X | 12693 | MS | Primary |
Addresses
Primary practice location
2550 Flowood Dr
Suite 200
Flowood, MS 39232-9303
Mailing address
2550 Flowood Dr
Suite 200
Flowood, MS 39232-9303
Phone (601) 939-9999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019074 | LA | MD | Pharmacist |
| 12693 | MS | MD | Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Plastic & Hand Surgery Associates PLLC | Plastic Surgery | Current | Accepting new patients |
Locations
2550 Flowood Dr
Ste 102
Flowood, MS 39232
Phone (601) 936-2393
2550 Flowood Dr
Ste 200
Flowood, MS 39232
Phone (601) 936-0927
Organizations & group practices 1
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.
-
- Plastic Surgery Physician
- Flowood, MS
- NPI 1932126695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1124050950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2550 FLOWOOD DR",
"address_2": "SUITE 200",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392329303",
"telephone_number": "601-939-9999",
"fax_number": "601-939-0590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2550 FLOWOOD DR",
"address_2": "SUITE 200",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392329303",
"telephone_number": "601-939-9999",
"fax_number": "601-939-0590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANOSKY",
"first_name": "MICHAEL",
"middle_name": "G",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-06",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "MS",
"license": "12693",
"primary": false
},
{
"code": "2082S0099X",
"taxonomy_group": "",
"desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
"state": "MS",
"license": "12693",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flowood, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.