Jeptha Newton Cole, M.D.

Primary specialty

Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X

License

15530 Issued in MS

Practice address

1030 N Flowood Dr
Jackson, MS 39232-9532

Phone

(601) 933-2004

Fax

(601) 896-0112

NPI assigned

Oct 3, 2006

Last updated

Aug 12, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 1, 2025 through Oct 1, 2027

Specialty

Plastic and Reconstructive Surgery

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cole Facial Plastic Surgery

  • Otolaryngology/Facial Plastic Surgery Physician
  • Jackson, MS
  • NPI 1336238443
  Authorized official Same address or phone

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565568000000",
    "number": "1821182080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 E LAYFAIR DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329526",
            "telephone_number": "601-933-2004",
            "fax_number": "601-896-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 N FLOWOOD DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392329532",
            "telephone_number": "601-933-2004",
            "fax_number": "601-896-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "JEPTHA",
        "middle_name": "NEWTON",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2019-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "MS",
            "license": "15530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00126043",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanie Pitts Coker, CFNP
• Cole Facial Plastic Surgery
• Brooke Makenzie Cole, MD
• Candice Brea Cole, LIFESTYLE COACH
• Carla Simpson Cole, DMD
• Jessica Cole, LPC
• Kelly Cole, MD
• Stephen Robert Cole, DO
• Coleman Care Givers LLC
• Bessie Coleman

• Facial Plastic Surgery Physician in Jackson, MS
• Providers in Jackson, MS by specialty
• Facial Plastic Surgery Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.