Mississippi Premier Plastic Surgery, PLLC
NPI 1639320864 · Plastic and Reconstructive Surgery Physician · Madison, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mississippi Premier Plastic Surgery, PLLC is a Plastic and Reconstructive Surgery Physician organization in Madison, MS (NPI 1639320864).
Provider details
- NPI number
- 1639320864
- Entity type
- Organization
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Patricia Byers, Credentialing Director(601) 981-2525
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Plastic Surgery Physician208200000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Surgery of the Hand (Surgery) Physician2086S0105X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Additional practice locations (1)
- 971 Lakeland Dr Ste 315Jackson, MS 39216-4607Phone: (601) 981-2525Fax: (601) 981-3152
Registry dates
- Enumerated
- 2008-10-07
- Last updated
- 2022-09-26
- Certified
- 2022-09-26
Frequently asked questions
- What is Mississippi Premier Plastic Surgery, PLLC's NPI number?
- Mississippi Premier Plastic Surgery, PLLC's National Provider Identifier (NPI) is 1639320864, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mississippi Premier Plastic Surgery, PLLC?
- Mississippi Premier Plastic Surgery, PLLC is classified in the NPPES registry as Plastic and Reconstructive Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Mississippi Premier Plastic Surgery, PLLC located?
- Mississippi Premier Plastic Surgery, PLLC's practice location on file with NPPES is 160 Fountains Blvd, Madison, MS 39110-4643.
- What is Mississippi Premier Plastic Surgery, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Mississippi Premier Plastic Surgery, PLLC is (601) 981-2525.
- Does Mississippi Premier Plastic Surgery, PLLC accept Medicare?
- Mississippi Premier Plastic Surgery, PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mississippi Premier Plastic Surgery, PLLC?
- The authorized official listed on Mississippi Premier Plastic Surgery, PLLC's NPPES record is Patricia Byers, Credentialing Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mississippi Premier Plastic Surgery, PLLC's NPI active?
- Yes — Mississippi Premier Plastic Surgery, PLLC's NPI (1639320864) is active in the NPPES registry as of the last update on 2022-09-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.