Cole Facial Plastic Surgery

Primary specialty

Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X

License

15530 Issued in MS

Legal business name

COLE FACIAL PLASTIC SURGERY

Practice address

1030 N Flowood Dr
Ste a
Jackson, MS 39232-9532

Phone

(601) 933-2004

Fax

(601) 896-0112

NPI assigned

Oct 12, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jeptha Newton Cole, M.D.NPI 1821182080

Title

President

Phone

(601) 933-2004

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeptha Newton Cole, M.D.

  • Facial Plastic Surgery Physician
  • Jackson, MS
  • NPI 1821182080
  Authorized official Same address or phone
• Jennifer Loren Atkinson, FNP-BC

  • Nurse Practitioner
  • Jackson, MS
  • NPI 1932877925
  NPD (past)
• Emilee Mariah Kahl, NP

  • Nurse Practitioner
  • Flowood, MS
  • NPI 1063192631
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336238443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 N. FLOWOOD DR.",
            "address_2": "STE A",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39232",
            "telephone_number": "601-933-2004",
            "fax_number": "601-896-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 N FLOWOOD DR",
            "address_2": "STE A",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392329532",
            "telephone_number": "601-933-2004",
            "fax_number": "601-896-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLE FACIAL PLASTIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "JEPTHA",
        "authorized_official_middle_name": "NEWTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-933-2004",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "MS",
            "license": "15530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00126043",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cognitive Solutions
• Karen Cohn, FNP-C
• Kristain Jerae Coke
• Bradley Coker, CRNA
• Melanie Pitts Coker, CFNP
• Brooke Makenzie Cole, MD
• Candice Brea Cole, LIFESTYLE COACH
• Carla Simpson Cole, DMD
• Jeptha Newton Cole, M.D.
• Jessica Cole, LPC

• Otolaryngology/Facial Plastic Surgery Physician in Jackson, MS
• Providers in Jackson, MS by specialty
• Otolaryngology/Facial Plastic Surgery Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.

Verify at the official NPI Registry.