Individual provider Active NPI

Mark Steven Elliott, MD

  • Specialist
  • Meridian, MS
National Provider Identifier
1184724718
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
16268 Issued in MS
Practice address
5002 Highway 39 N
Meridian, MS 39301-1078
Phone
(601) 880-3850
Fax
(601) 693-7758
NPI assigned
Sep 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 16268 MS
Specialist 174400000X 16268 MS Primary

Addresses

Primary practice location

5002 Highway 39 N
Meridian, MS 39301-1078

Mailing address

4612 29TH Ave
Meridian, MS 39305-1652
Phone (601) 512-0431

Other identifiers 1

IdentifierTypeStateIssuer
240000061MedicaidMS

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
I20081006000586 MS Practitioner - Plastic and Reconstructive Surgery 8921012642 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Tulane University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology and Skin Cancer Center PLLCGroup PAC ID 3375953409, 3 clinicians

Practice addresses (Care Compare)

4612 29TH Ave
Meridian, MS 39305-1652
Phone (601) 512-0431

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision48
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue1-10
Skin biopsy42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16268MSMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Plastic Surgery PA Specialist CurrentSince Mar 29, 1999 Accepting new patients
Dermatology & Skin Cancer Center PLLC CurrentSince Jan 3, 2025 Accepting new patients
Plastic Crna, LLC Current Accepting new patients
Plastic Surgery Center of Meridian, LLC CurrentSince Jul 25, 2002 Accepting new patients

Locations

5002 Highway 39 N
Bldg C
Meridian, MS 39301
Phone (601) 385-9111

5002 Highway 39 N
Meridian, MS 39301
Phone (601) 693-7742

5002 Highway 39 N
Bldg D
Meridian, MS 39301
Phone (601) 481-7070

1200 22nd Ave
Meridian, MS 39301
Phone (601) 693-7742

4612 29th Ave
Meridian, MS 39305
Phone (601) 485-8535

Interoperability endpoints

  • Direct secure messaging: melliott@directaddress.net

Organizations & group practices 4

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 1

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": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1184724718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4612 29TH AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393051652",
            "telephone_number": "601-512-0431",
            "fax_number": "601-482-5065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5002 HIGHWAY 39 N",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393011078",
            "telephone_number": "601-880-3850",
            "fax_number": "601-693-7758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "MARK",
        "middle_name": "STEVEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-24",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MS",
            "license": "16268",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MS",
            "license": "16268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "240000061",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

Verify at the official NPI Registry.