Active NPI
Mississippi Center for Plastic Surgery
- Plastic and Reconstructive Surgery Physician
- Ridgeland, MS
National Provider Identifier
1184022485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 19109
- Legal business name
- MISSISSIPPI CENTER FOR PLASTIC SURGERY
- Practice address
- 200 W Jackson St
Suite 100
Ridgeland, MS 39157-2310 - Phone
- (769) 300-4055
- Fax
- (601) 427-5864
- NPI assigned
- Dec 18, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Paige C. Swindle
- Title
- Office Manager
- Phone
- (769) 300-4055
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 19109 | MS | Primary |
Addresses
Primary practice location
200 W Jackson St
Suite 100
Ridgeland, MS 39157-2310
Mailing address
PO Box 13582
Jackson, MS 39236-3582
Phone (769) 300-4055
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
150 Jefferson Davis Blvd
Natchez, MS 39120
Phone (601) 446-6634
150 Jefferson Davis Blvd
Ste 110
Natchez, MS 39120
Phone (601) 445-4616
200 W Jackson St
#100
Ridgeland, MS 39157
Phone (601) 543-3659
200 W Jackson St
Ridgeland, MS 39157
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Ridgeland, MS
- NPI 1649493560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418860800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1444262400000",
"number": "1184022485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 13582",
"city": "JACKSON",
"state": "MS",
"postal_code": "392363582",
"telephone_number": "769-300-4055",
"fax_number": "601-427-5864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W JACKSON ST",
"address_2": "SUITE 100",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391572310",
"telephone_number": "769-300-4055",
"fax_number": "601-427-5864"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MISSISSIPPI CENTER FOR PLASTIC SURGERY",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-18",
"last_updated": "2015-10-08",
"status": "A",
"authorized_official_last_name": "SWINDLE",
"authorized_official_first_name": "PAIGE",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "769-300-4055",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "MS",
"license": "19109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ridgeland, MS
- Laura Mims, OT
- Mindful Thoughts LLC
- Amanda Keeling Minshew
- Nicholas Missel, DPT
- Mississippi Asthma and Allergy Clinic PA
- Mississippi Counseling Services, LLC
- Mississippi Federal Injury Doctors
- Mississippi Medical Relief Care, LLC
- Mississippi Mobile Diagnostics
- Mississippi Neuropsychiatric Clinic, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; 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.