Individual provider Active NPI

Carolyn Ann Cushing, M.D.

  • Surgery of the Hand (Plastic Surgery) Physician
  • Ridgeland, MS
National Provider Identifier
1740484302
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Plastic Surgery) PhysicianTaxonomy code 2082S0105X
License
22944 Issued in MS
Practice address
281 Trace Colony Park Dr Ste a
Ridgeland, MS 39157-8810
Phone
(601) 345-1090
Fax
(601) 642-3272
NPI assigned
Jun 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X 22944 MS Primary
Plastic Surgery Physician 208200000X N7411 TX
Plastic and Reconstructive Surgery Physician 2086S0122X BP1-0026911 TX

Addresses

Primary practice location

281 Trace Colony Park Dr Ste a
Ridgeland, MS 39157-8810

Mailing address

344 Sundial Rd
Madison, MS 39110-8772
Phone (512) 796-8628

Other identifiers 4

IdentifierTypeStateIssuer
2406418MedicaidLA
06906031MedicaidMS
3872487469OtherMYUTMB 3872487469-COMMERCIAL NUMBER
175653MedicaidAL

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
I20140204000398 MS Practitioner - Plastic and Reconstructive Surgery 3870722390 Reassigns benefits to 2 organizations
Practice locations: Ridgeland, MS

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N7411TXMDPlastic Surgery Physician
BP1-0026911TXMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Plastic & Hand Surgery Associates PLLC Plastic Surgery CurrentSince Mar 1, 2021 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Feb 3, 2014 Accepting new patients
The Retina Institute of Mississippi, PLLC CurrentSince Mar 16, 2021 Accepting new patients
Refine Plastic and Hand Surgery PLLC Surgery of the Hand CurrentSince Jan 1, 2025 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Feb 3, 2014 Accepting new patients

Locations

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

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

281 Trace Colony Park Dr
#A
Ridgeland, MS 39157
Phone (409) 553-9058

Interoperability endpoints

  • Direct secure messaging: plasticandhandsurgeryassociates.carolyncushing@117430.advancedmd-direct.com

Organizations & group practices 5

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.

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Texas Medical Branch at Galveston, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

281 Trace Colony Park Dr
Suite a
Ridgeland, MS 39157-8810
Phone (601) 345-1090

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

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1740484302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 SUNDIAL RD",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391108772",
            "telephone_number": "512-796-8628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 TRACE COLONY PARK DR STE A",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391578810",
            "telephone_number": "601-345-1090",
            "fax_number": "601-642-3272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSHING",
        "first_name": "CAROLYN",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "MS",
            "license": "22944",
            "primary": true
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "N7411",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "BP1-0026911",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2406418",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06906031",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MYUTMB 3872487469-COMMERCIAL NUMBER",
            "identifier": "3872487469",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175653",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgeland, MS

Sources for this page

Verify at the official NPI Registry.