Plastic Surgery Center of Hattiesburg, PLLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

139170 Issued in MS

Legal business name

PLASTIC SURGERY CENTER OF HATTIESBURG, PLLC

Practice address

40 Franklin Rd
Hattiesburg, MS 39402-1318

Phone

(601) 296-3405

Fax

(601) 296-3409

NPI assigned

Jan 11, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Julie Talbot

Title

Director

Phone

(601) 296-3405

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William L Reno III, MD

  • Plastic Surgery Physician
  • Hattiesburg, MS
  • NPI 1861580557
  Medicare reassignment Care Compare group NPD
• John Magruder Sullivan III, MD

  • Plastic and Reconstructive Surgery Physician
  • Jackson, MS
  • NPI 1043872948
  Medicare reassignment Care Compare group NPD
• Paul J Talbot, MD

  • Plastic Surgery Physician
  • Hattiesburg, MS
  • NPI 1912095100
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627430400000",
    "number": "1396895413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 FRANKLIN RD",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021318",
            "telephone_number": "601-296-3405",
            "fax_number": "601-296-3409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 FRANKLIN RD",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021318",
            "telephone_number": "601-296-3405",
            "fax_number": "601-296-3409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC SURGERY CENTER OF HATTIESBURG, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A",
        "authorized_official_last_name": "TALBOT",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "601-296-3405",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "MS",
            "license": "139170",
            "primary": true
        },
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "MS",
            "license": "15450",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00980856",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Pitts
• Catherine Pivalizza
• Anisha Pizzferro, CMHT
• David Mallory Plair, NP
• Planned Parenthood Southeast, Inc.
• Jasmine Plummer, MSW
• Pmgroup
• Hope Wakefield Polk, AU.D.
• Madison Polk
• Alexandria G Polles, MD

• Plastic Surgery Physician in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Plastic Surgery Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.