Individual provider Active NPI

Erica Hutcheson Bass, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Madison, MS
National Provider Identifier
1366604100
Registry record updated Nov 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
22857 Issued in MS
Practice address
160 Fountains Blvd Ste B
Madison, MS 39110-6343
Phone
(601) 981-2525
Fax
(601) 981-3152
NPI assigned
Jul 1, 2008
Last updated
Nov 19, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 22857 MS Primary

Addresses

Primary practice location

160 Fountains Blvd Ste B
Madison, MS 39110-6343

Mailing address

160 Fountains Blvd Ste B
Madison, MS 39110-6343
Phone (601) 981-2525

Other practice location 1

971 Lakeland Dr
Suite 315
Jackson, MS 39216-4643
Phone (601) 981-2525

Other identifiers 1

IdentifierTypeStateIssuer
0520851MedicaidMS

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
I20160815002727 MS Practitioner - Plastic and Reconstructive Surgery 9234423153 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Sunflower Medical CenterGroup PAC ID 7618932294, shared by 11 NPIs, 46 clinicians

Practice addresses (Care Compare)

101 E Floyce St
Sunflower Diagnostic Center
Ruleville, MS 38771-3915
Phone (662) 756-2100

160 Fountains Blvd
Suite B
Madison, MS 39110-6380
Phone (601) 898-7500

840 N Oak Ave
Ruleville, MS 38771-3227
Phone (601) 756-2711

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy12
Melanoma (skin cancer) excision29
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Sunflower Medical Center CurrentSince Aug 23, 2019 Accepting new patients
Bespoke Aesthetics and Plastic Surgery CurrentSince Dec 1, 2024 Accepting new patients
North Sunflower Medical Center CurrentSince May 23, 2019 Accepting new patients
North Sunflower Medical Center CurrentSince May 23, 2019 Accepting new patients
Mississippi Premier Plastic Surgery, PLLC Plastic and Reconstructive Surgery CurrentSince Sep 19, 2016 Accepting new patients
North Sunflower Medical Center CurrentSince May 23, 2019 Accepting new patients
North Sunflower Medical Center Current Accepting new patients

Locations

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

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

161 Montgomery St
Ste C
Madison, MS 39110
Phone (601) 987-6581

308 Corporate Dr
Ridgeland, MS 39157
Phone (601) 898-7500

101 E Floyce St
Ruleville, MS 38771
Phone (662) 756-2100

840 N Oak Ave
Ruleville, MS 38771
Phone (601) 756-2711

Interoperability endpoints

  • Direct secure messaging: ericabassie@nsfmc.allscriptsdirect.net

Organizations & group practices 7

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 2

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": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1366604100",
    "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": "391106343",
            "telephone_number": "601-981-2525"
        },
        {
            "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": "391106343",
            "telephone_number": "601-981-2525",
            "fax_number": "601-981-3152"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "971 Lakeland Dr",
            "address_2": "Suite 315",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392164643",
            "country_code": "US",
            "telephone_number": "601-981-2525",
            "fax_number": "601-981-3152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASS",
        "first_name": "ERICA",
        "middle_name": "HUTCHESON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-01",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MS",
            "license": "22857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0520851",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, MS

Sources for this page

Verify at the official NPI Registry.