Individual provider Active NPI

Forrest Simpson Wells, MD

  • Plastic and Reconstructive Surgery Physician
  • Ocean Springs, MS
National Provider Identifier
1477568749
Registry record updated May 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
18050 Issued in MS
Practice address
4509 Gibson Rd
Ocean Springs, MS 39564-6026
Phone
(228) 872-3993
Fax
(228) 872-3992
NPI assigned
Jul 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2020

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 18050 MS Primary

Addresses

Primary practice location

4509 Gibson Rd
Ocean Springs, MS 39564-6026

Mailing address

4509 Gibson Rd
Ocean Springs, MS 39564-6026
Phone (228) 872-3993

Other identifiers 2

IdentifierTypeStateIssuer
P0007341ZOtherMSMEDICARE RAILROAD
03479057MedicaidMS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address fwells@directaddress.net Health Information Exchange (HIE)

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
I20080811000317 MS Practitioner - Plastic and Reconstructive Surgery 8426122359 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Alabama School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gulf Coast Plastic and Reconstructive Surgery, PLLCGroup PAC ID 2062556863, 2 clinicians

Practice addresses (Care Compare)

4509 Gibson Rd
Ocean Springs, MS 39564-6026
Phone (228) 872-3993

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.46 of 100Reported as group
Quality
92.92
Improvement activities
40
Cost
77.64

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy19
Melanoma (skin cancer) excision108
Removal of tissue1-10
Removal of skin lesions528

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18050MSMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Plastic & Reconstructive Surgery, PLLC Plastic and Reconstructive Surgery CurrentSince Sep 8, 2009 Accepting new patients

Locations

3301 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 467-4150

4509 Gibson Rd
Ocean Springs, MS 39564
Phone (228) 872-3993

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 1

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": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589846400000",
    "number": "1477568749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4509 GIBSON RD",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395646026",
            "telephone_number": "228-872-3993",
            "fax_number": "228-872-3992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4509 GIBSON RD",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395646026",
            "telephone_number": "228-872-3993",
            "fax_number": "228-872-3992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "FORREST",
        "middle_name": "SIMPSON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-29",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MS",
            "license": "18050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P0007341Z",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03479057",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fwells@directaddress.net",
            "affiliation": "N",
            "endpointDescription": "direct message",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "XML",
            "address_1": "4509 Gibson Rd",
            "city": "Ocean Springs",
            "state": "MS",
            "country_code": "US",
            "postal_code": "395646026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ocean Springs, MS

Sources for this page

Verify at the official NPI Registry.