OrganizationActive
Aesthetic Surgery Center Ltd
NPI 1215225636 · Plastic Surgery Physician · Biloxi, MS
Provider details
- NPI number
- 1215225636
- Entity type
- Organization
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Courtney Richardson, Vice President(228) 392-4454
- License
- 11075 (MS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1720a Medical Park Dr
Suite 140
Biloxi, MS 39532-2129
Phone: (228) 392-4454
Fax: (228) 392-4533
Street-level locationGet directions
Mailing address
Po Box 6066
Gulfport, MS 39506-6066
Registry dates
- Enumerated
- 2011-07-19
- Last updated
- 2011-10-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.