Mississippi Premier Plastic Surgery, PLLC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

Legal business name

MISSISSIPPI PREMIER PLASTIC SURGERY, PLLC

Practice address

160 Fountains Blvd
Suite B
Madison, MS 39110-4643

Phone

(601) 981-2525

Fax

(601) 981-3152

NPI assigned

Oct 7, 2008

Last updated

Sep 26, 2022By 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

Mrs. Patricia B Byers, CMPE

Title

Credentialing Director

Phone

(601) 981-2525

Specialties & licenses 5

Addresses

Electronic endpoints 6

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Interoperability endpoints

• Direct secure messaging: ebass@directaddress.net
• Direct secure messaging: epicarella@directaddress.net
• Direct secure messaging: jmckinney@directaddress.net
• Direct secure messaging: jsongcharoen@directaddress.net
• Direct secure messaging: ssongcharoen@directaddress.net
• Direct secure messaging: wdjackson@directaddress.net

Practitioners 8

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.

• Sana L Bhatti, M.D.

  • Plastic Surgery Physician
  • Meridian, MS
  • NPI 1821351107
  Medicare reassignment Care Compare group NPD
• William Dotie Jackson, MD

  • Plastic and Reconstructive Surgery Physician
  • Madison, MS
  • NPI 1194858688
  Medicare reassignment Care Compare group NPD
• Somjade Jay Songcharoen, MD

  • Plastic and Reconstructive Surgery Physician
  • Jackson, MS
  • NPI 1255628517

  Plastic Surgery

  Medicare reassignment Care Compare group NPD
• Somprasong Songcharoen, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Madison, MS
  • NPI 1689615486

  Plastic Surgery

  Medicare reassignment Care Compare group NPD
• Courtney Elizabeth Newsome

  • Physician Assistant
  • Jackson, MS
  • NPI 1134992431
  Medicare reassignment Care Compare group
• Erica Hutcheson Bass, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Madison, MS
  • NPI 1366604100
  Medicare reassignment NPD
• Tina Chandler, FNP

  • Family Nurse Practitioner
  • Florence, MS
  • NPI 1164153979
  Medicare reassignment NPD
• Emile Anthony Picarella Jr., MD

  • Plastic and Reconstructive Surgery Physician
  • Madison, MS
  • NPI 1467663906
  Medicare reassignment NPD

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664150400000",
    "number": "1639320864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 FOUNTAINS BLVD",
            "address_2": "SUITE B",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391104643",
            "telephone_number": "601-981-2525",
            "fax_number": "601-981-3152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 FOUNTAINS BLVD",
            "address_2": "SUITE B",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391104643",
            "telephone_number": "601-981-2525",
            "fax_number": "601-981-3152"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "971 Lakeland Dr Ste 315",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392164607",
            "country_code": "US",
            "telephone_number": "601-981-2525",
            "fax_number": "601-981-3152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MISSISSIPPI PREMIER PLASTIC SURGERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-07",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A",
        "authorized_official_last_name": "BYERS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CREDENTIALING DIRECTOR",
        "authorized_official_telephone_number": "601-981-2525",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CMPE"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2082S0099X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "epicarella@directaddress.net",
            "affiliation": "N",
            "endpointDescription": "direct message",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "XML",
            "address_1": "160 Fountains Blvd",
            "address_2": "Suite B",
            "city": "Madison",
            "state": "MS",
            "country_code": "US",
            "postal_code": "391104643",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ebass@directaddress.net",
            "affiliation": "N",
            "endpointDescription": "direct message",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "XML",
            "address_1": "160 Fountains Blvd",
            "address_2": "Suite B",
            "city": "Madison",
            "state": "MS",
            "country_code": "US",
            "postal_code": "391104643",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ssongcharoen@directaddress.net",
            "affiliation": "N",
            "endpointDescription": "direct message",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "XML",
            "address_1": "160 Fountains Blvd",
            "address_2": "Suite B",
            "city": "Madison",
            "state": "MS",
            "country_code": "US",
            "postal_code": "391104643",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wdjackson@directaddress.net",
            "affiliation": "N",
            "endpointDescription": "direct message",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "XML",
            "address_1": "160 Fountains Blvd",
            "address_2": "Suite B",
            "city": "Madison",
            "state": "MS",
            "country_code": "US",
            "postal_code": "391104643",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmckinney@directaddress.net",
            "affiliation": "N",
            "endpointDescription": "direct message",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "XML",
            "address_1": "160 Fountains Blvd",
            "address_2": "Suite B",
            "city": "Madison",
            "state": "MS",
            "country_code": "US",
            "postal_code": "391104643",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsongcharoen@directaddress.net",
            "affiliation": "N",
            "endpointDescription": "direct message",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "XML",
            "address_1": "160 Fountains Blvd",
            "address_2": "Suite B",
            "city": "Madison",
            "state": "MS",
            "country_code": "US",
            "postal_code": "391104643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mississippi CVS Pharmacy, L.L.C. (CVS Pharmacy # 08310)
• Mississippi Ear, Nose and Throat Surgical Associates, P.C.
• Mississippi Eye Group, LLC (Mississippi Eye Group)
• Mississippi Medical Group, Inc
• Mississippi Nurse Practitioners Inc
• Mississippi Retina Associates,PLLC
• Mississippi Vein Institute
• Elizabeth Wyatt Mitchell, M.D.
• Peter Nathanael Mittwede, M.D., PH.D.
• Lauren Mize

• Plastic and Reconstructive Surgery Physician in Madison, MS
• Providers in Madison, MS by specialty
• Plastic and Reconstructive Surgery Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.