Individual provider Active NPI

Paul J Talbot, MD

  • Plastic Surgery Physician
  • Hattiesburg, MS
National Provider Identifier
1912095100
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
139170 Issued in MS
Practice address
40 Franklin Rd
Hattiesburg, MS 39402-1318
Phone
(601) 296-3405
Fax
(601) 296-3409
NPI assigned
Oct 11, 2006
Last updated
Jan 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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 MD-56319 IA
Plastic Surgery Physician 208200000X 139170 MS Primary

Addresses

Primary practice location

40 Franklin Rd
Hattiesburg, MS 39402-1318

Mailing address

40 Franklin Rd
Hattiesburg, MS 39402-1318
Phone (601) 296-3405

Other practice location 1

1601 NW 114th St Ste 151
Clive, IA 50325-7046
Phone (515) 643-5455

Other identifiers 1

IdentifierTypeStateIssuer
00114178MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070424000328 MS Practitioner - Plastic and Reconstructive Surgery 8527004431 Reassigns benefits to 1 organization
I20260218002487 IA Practitioner - Plastic and Reconstructive Surgery 8527004431 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinics IncGroup PAC ID 7911810882, 441 clinicians
Plastic Surgery Center of Hattiesburg, PLLCGroup PAC ID 6103921986, 3 clinicians

Practice addresses (Care Compare)

1601 NW 114TH St
151 Mercyone Des Moines Plastics and Re
Clive, IA 50325-7046
Phone (515) 643-5455

40 Franklin Rd
Hattiesburg, MS 39402-1318
Phone (601) 296-3405

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-56319IAMDPlastic Surgery Physician
139170MSMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Plastic Surgery Center of Hattiesburg, PLLC Plastic Surgery CurrentSince Jan 1, 2007 Accepting new patients
Mercy Clinics, Inc. CurrentSince Feb 1, 2026 Accepting new patients
Mercy Clinics, Inc CurrentSince Feb 1, 2026 Accepting new patients
PSCH, LLC PastSince Feb 20, 2008 Accepting new patients

Locations

1601 NW 114th St
Ste 151
Des Moines, IA 50325
Phone (515) 222-7474

411 Laurel St
Ste 2100
Des Moines, IA 50314
Phone (515) 418-9960

40 Franklin Rd
Hattiesburg, MS 39402
Phone (601) 296-3405

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768780800000",
    "number": "1912095100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 FRANKLIN RD",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021318",
            "telephone_number": "601-296-3405",
            "fax_number": "601-296-3409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 FRANKLIN RD",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021318",
            "telephone_number": "601-296-3405",
            "fax_number": "601-296-3409"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 NW 114th St Ste 151",
            "address_purpose": "LOCATION",
            "city": "Clive",
            "state": "IA",
            "postal_code": "503257046",
            "country_code": "US",
            "telephone_number": "515-643-5455",
            "fax_number": "515-643-6459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TALBOT",
        "first_name": "PAUL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "IA",
            "license": "MD-56319",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MS",
            "license": "139170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00114178",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

Verify at the official NPI Registry.