NPIMap

Individual provider Active NPI

Patrick H Scanlon Jr., M.D.

  • Surgery Physician
  • Jackson, MS
National Provider Identifier
1356440234
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
16216 Issued in MS
Practice address
971 Lakeland Dr Ste 1460
Jackson, MS 39216-4621
Phone
(601) 982-3202
Fax
(601) 982-3259
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 16216 MS Primary
Specialist 174400000X 16216 MS

Addresses

Primary practice location

971 Lakeland Dr Ste 1460
Jackson, MS 39216-4621

Mailing address

971 Lakeland Dr Ste 1460
Jackson, MS 39216-4621
Phone (601) 982-3202

Other practice location 1

971 Lakeland Dr Ste 750
Jackson, MS 39216-4608
Phone (601) 200-5790

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110914000257 MS Practitioner - General Surgery 0244300200 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Mississippi School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakeland Surgical Clinic PLLCGroup PAC ID 9335221464, 14 clinicians

Practice addresses (Care Compare)

971 Lakeland Dr
Jackson, MS 39216-4621
Phone (601) 982-3202

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)23
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue60
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeland Surgical Clinic PLLC Specialist CurrentSince Feb 8, 1999 Accepting new patients

Locations

971 Lakeland Dr
Ste 1460
Jackson, MS 39216
Phone (601) 982-3202

Organizations & group practices 1

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 5

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1356440234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "971 LAKELAND DR STE 1460",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164621",
            "telephone_number": "601-982-3202",
            "fax_number": "601-982-3259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "971 LAKELAND DR STE 1460",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164621",
            "telephone_number": "601-982-3202",
            "fax_number": "601-982-3259"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "971 Lakeland Dr Ste 750",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392164608",
            "country_code": "US",
            "telephone_number": "601-200-5790",
            "fax_number": "601-200-0373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCANLON",
        "first_name": "PATRICK",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MS",
            "license": "16216",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MS",
            "license": "16216",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.