Individual provider Active NPI

Sethelle Lucas Flowers, MD

  • Dermatology Physician
  • Ridgeland, MS
National Provider Identifier
1730209289
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
10767 Issued in MS
Practice address
299 Highway 51
Suite F1
Ridgeland, MS 39157-3424
Phone
(601) 853-2440
Fax
(601) 853-2460
NPI assigned
Mar 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 10767 MS Primary

Addresses

Primary practice location

299 Highway 51
Suite F1
Ridgeland, MS 39157-3424

Mailing address

299 Highway 51
Suite F1
Ridgeland, MS 39157-3424
Phone (601) 853-2440

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
I20080911000140 MS Practitioner - Dermatology 2062588379 Practice locations: Ridgeland, MS

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Mississippi School of Medicine, 1984
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

217 Draperton Dr
Ridgeland, MS 39157-3902
Phone (601) 853-2440

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions2068
Removal or shaving of skin growth350
Skin biopsy566

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10767MSMDDermatology Physician

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730209289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 HIGHWAY 51",
            "address_2": "SUITE F1",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391573424",
            "telephone_number": "601-853-2440",
            "fax_number": "601-853-2460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 HIGHWAY 51",
            "address_2": "SUITE F1",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391573424",
            "telephone_number": "601-853-2440",
            "fax_number": "601-853-2460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOWERS",
        "first_name": "SETHELLE",
        "middle_name": "LUCAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MS",
            "license": "10767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgeland, MS

Sources for this page

Verify at the official NPI Registry.