Frederick Cortney Sailes, M.D.

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

20642 Issued in MS

Practice address

160 Fountains Blvd Ste B
Madison, MS 39110-6380

Phone

(601) 981-2525

NPI assigned

May 27, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 8

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MS, PA, NJ3 enrollments

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 3

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Integrated Wound Specialists of Pennsylvania, LLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Somerset, PA
  • NPI 1578882924

  Family Medicine

  Medicare reassignment NPD
• Renew Wound Care of New Jersey LLC

  • Family Medicine Physician
  • Trenton, NJ
  • NPI 1245815851
  Medicare reassignment NPD
• Renew Wound Care of Pennsylvania LLC

  • Internal Medicine Physician
  • Wyncote, PA
  • NPI 1194442640

  Family Medicine

  Medicare reassignment NPD
• Vohra Post Acute Care Physicians of the East, PA

  • Family Medicine Physician
  • Miramar, FL
  • NPI 1063848968

  NJ

  Medicare reassignment NPD
• Vohra Post Acute Care Physicians of the Northeast PA

  • Family Medicine Physician
  • Bryn Mawr, PA
  • NPI 1275969131
  Medicare reassignment NPD
• Vohra Post Acute Care Physicians of the East, PA

  • Family Medicine Physician
  • Miramar, FL
  • NPI 1801276670
  NPD
• Greenbush Emergency Physicians LLC

  • Emergency Medicine Physician
  • Morton, MS
  • NPI 1952682304
  NPD (past)
• Keystone Medical Services of Ms, Inc

  • Emergency Medicine Physician
  • Hazlehurst, MS
  • NPI 1174691059
  NPD (past)
• Marion General Hospital

  • Rural Acute Care Hospital
  • Columbia, MS
  • NPI 1083637904
  NPD (past)

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

{
    "created_epoch": "1180224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1275744450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 FOUNTAINS BLVD STE B",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391106380",
            "telephone_number": "601-981-2525",
            "fax_number": "601-981-3152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 FOUNTAINS BLVD STE B",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391106380",
            "telephone_number": "601-981-2525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "595 W State St",
            "address_purpose": "LOCATION",
            "city": "Doylestown",
            "state": "PA",
            "postal_code": "189012554",
            "country_code": "US",
            "telephone_number": "267-885-1775",
            "fax_number": "267-885-1757",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Capital Way",
            "address_purpose": "LOCATION",
            "city": "Pennington",
            "state": "NJ",
            "postal_code": "08534",
            "country_code": "US",
            "telephone_number": "609-537-7457",
            "fax_number": "609-537-7189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAILES",
        "first_name": "FREDERICK",
        "middle_name": "CORTNEY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-27",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD427106",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA10417400",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "PA",
            "license": "MD427106",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "AZ",
            "license": "59513",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NY",
            "license": "302577",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "GA",
            "license": "072112",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MS",
            "license": "20642",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MS",
            "license": "20642",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fsailes@directaddress.net",
            "affiliation": "N",
            "endpointDescription": "Direct Message",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "XML",
            "address_1": "160 Fountains Blvd Ste B",
            "city": "Madison",
            "state": "MS",
            "country_code": "US",
            "postal_code": "391106380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christina Rushing, LPN
• Leah Russell, CCC-SLP
• Richard L Russell, M.D.
• Valerie Russell, LPC
• Rebecca Buchanan Saenz, MD, IBCLC, FABM
• Sam'S Club Optical
• Corinne A Sampson, PT
• Sams East Inc
• Emily Sandberg
• Pamela Higgins Saulsberry, PHD, LCSW

• Plastic and Reconstructive Surgery Physician in Madison, MS
• Providers in Madison, MS by specialty
• Plastic and Reconstructive Surgery Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.