Active NPI
Paul J Talbot, MD
- Plastic Surgery Physician
- Hattiesburg, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 139170
- 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, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00114178 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-56319 | IA | MD | Plastic Surgery Physician |
| 139170 | MS | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Plastic Surgery Center of Hattiesburg, PLLC | Plastic Surgery | Current | Accepting new patients |
| Mercy Clinics, Inc. | Current | Accepting new patients | |
| Mercy Clinics, Inc | Current | Accepting new patients | |
| PSCH, LLC | Past | 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.
-
- Plastic Surgery Physician
- Hattiesburg, MS
- NPI 1396895413
-
dba MercyOne Clive Family Medicine Clinic
- Primary Care Clinic/Center
- Clive, IA
- NPI 1487670923
-
- Ambulatory Surgical Clinic/Center
- Hattiesburg, MS
- NPI 1962688358
-
dba MercyOne Des Moines Plastic & Reconstructive Surgery
- Clinic/Center
- Clive, IA
- NPI 1699067397
-
dba MercyOne Des Moines OB Hospitalists
- Obstetrics & Gynecology Physician
- Des Moines, IA
- NPI 1508741505
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Merit Health Wesley
- General Acute Care Hospital
- Hattiesburg, MS
- NPI 1841241841
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.