Individual provider Active NPI

Somjade Jay Songcharoen, MD

  • Plastic and Reconstructive Surgery Physician
  • Jackson, MS
National Provider Identifier
1255628517
Registry record updated Jan 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
23081 Issued in MS
Practice address
971 Lakeland Dr Ste 315
Jackson, MS 39216-4607
Phone
(601) 414-9530
Fax
(601) 206-0153
NPI assigned
Jul 6, 2011
Last updated
Jan 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 1, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 23081 MS
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X 23081 MS
Plastic and Reconstructive Surgery Physician 2086S0122X 23081 MS Primary

Addresses

Primary practice location

971 Lakeland Dr Ste 315
Jackson, MS 39216-4607

Mailing address

971 Lakeland Dr Ste 315
Jackson, MS 39216-4607
Phone (601) 414-9530

Other identifiers 1

IdentifierTypeStateIssuer
00986532MedicaidMS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jsongcharoen@plasticsurgeryms.emadirect.md Direct

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
I20210607002728 MS Practitioner - Plastic and Reconstructive Surgery 0143586461 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Mississippi School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mississippi Premier Plastic Surgery PLLCGroup PAC ID 6204997679, 5 clinicians
Apex Medical, PLLCGroup PAC ID 4284111683, 2 clinicians

Practice addresses (Care Compare)

160 Fountains Blvd
Suite B
Madison, MS 39110-6380
Phone (601) 981-2525

971 Lakeland Dr
Jackson, MS 39216-4643
Phone (601) 414-9530

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
Mastectomy1-10
Melanoma (skin cancer) excision85
Removal of tissue14
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23081MSMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Medical, PLLC Plastic Surgery CurrentSince Jan 1, 2026 Accepting new patients
Mississippi Premier Plastic Surgery, PLLC Plastic Surgery CurrentSince Aug 1, 2021 Accepting new patients

Locations

971 Lakeland Dr
Ste 315
Jackson, MS 39216
Phone (601) 898-4400

971 Lakeland Dr
Ste 315THE
Jackson, MS 39216
Phone (601) 414-9530

160 Fountains Blvd
Ste B
Madison, MS 39110
Phone (601) 898-7500

Interoperability endpoints

  • Direct secure messaging: jsongcharoen@directaddress.net
  • Direct secure messaging: ssongcharoen2829605@direct.casso.us.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767225600000",
    "number": "1255628517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "971 LAKELAND DR STE 315",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164607",
            "telephone_number": "601-414-9530",
            "fax_number": "601-206-0153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "971 LAKELAND DR STE 315",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164607",
            "telephone_number": "601-414-9530",
            "fax_number": "601-206-0153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONGCHAROEN",
        "first_name": "SOMJADE",
        "middle_name": "JAY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-06",
        "last_updated": "2026-01-01",
        "certification_date": "2026-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MS",
            "license": "23081",
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "MS",
            "license": "23081",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MS",
            "license": "23081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00986532",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsongcharoen@plasticsurgeryms.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "Direct secure messaging for clinical documents",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct secure clinical messaging",
            "address_1": "971 Lakeland Dr Ste 315",
            "city": "Jackson",
            "state": "MS",
            "country_code": "US",
            "postal_code": "392164607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.