Individual provider Active NPI

Shelby K Brantley, M.D.

  • Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
  • Flowood, MS
National Provider Identifier
1679503023
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery Within the Head and Neck (Plastic Surgery) PhysicianTaxonomy code 2082S0099X
License
11700 Issued in MS
Practice address
1030 N Flowood Dr Ste a
Flowood, MS 39232-9532
Phone
(601) 387-9005
Fax
(601) 387-9006
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 11700 MS
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician 2082S0099X 11700 MS Primary

Addresses

Primary practice location

1030 N Flowood Dr Ste a
Flowood, MS 39232-9532

Mailing address

1030 N Flowood Dr Ste a
Flowood, MS 39232-9532
Phone (601) 387-9005

Other identifiers 1

IdentifierTypeStateIssuer
00114322MedicaidMS

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
I20120105000482 MS Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand Surgery 1951305879 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Hand Surgery
Education
University of Mississippi School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Body and Face Plastic SurgeryGroup PAC ID 6204333693, 2 clinicians
Plastic and Hand Surgery Associates PLLCGroup PAC ID 4688642093, 6 clinicians

Practice addresses (Care Compare)

1030 N Flowood Dr
Suite a
Flowood, MS 39232-9532
Phone (601) 387-9005

2550 Flowood Dr
Suite 102
Flowood, MS 39232-9304
Phone (601) 939-9999

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
70.12 of 100Reported as group
Quality
75.54
Improvement activities
40
Cost
33.03

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy21

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Body and Face Plastic Surgery CurrentSince Sep 1, 2025 Accepting new patients
Plastic & Hand Surgery Associates PLLC Plastic Surgery CurrentSince Oct 1, 2011 Accepting new patients

Locations

2550 Flowood Dr
Ste 101
Flowood, MS 39232
Phone (601) 939-5544

2550 Flowood Dr
Ste 200
Flowood, MS 39232
Phone (601) 936-0927

2550 Flowood Dr
Ste 102
Flowood, MS 39232
Phone (601) 936-2393

1030 N Flowood Dr
Ste A
Jackson, MS 39232
Phone (601) 387-9005

Interoperability endpoints

  • Direct secure messaging: bodyandfaceplasticsurgeryshelbybrantley@162107.advancedmd-direct.com
  • Direct secure messaging: plasticandhandsurgeryassociates.shelbybrantley@117430.advancedmd-direct.com

Organizations & group practices 2

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1679503023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 N FLOWOOD DR STE A",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329532",
            "telephone_number": "601-387-9005",
            "fax_number": "601-387-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 N FLOWOOD DR STE A",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329532",
            "telephone_number": "601-387-9005",
            "fax_number": "601-387-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANTLEY",
        "first_name": "SHELBY",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MS",
            "license": "11700",
            "primary": false
        },
        {
            "code": "2082S0099X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "MS",
            "license": "11700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00114322",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

Verify at the official NPI Registry.