OrganizationActive
Mississippi Premier Plastic Surgery, PLLC
NPI 1639320864 · Plastic and Reconstructive Surgery Physician · Madison, MS
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
Practice location
160 Fountains Blvd
Suite B
Madison, MS 39110-4643
Phone: (601) 981-2525
Fax: (601) 981-3152
Approximate (ZIP-level) locationGet directions
Mailing address
160 Fountains Blvd
Madison, MS 39110-4643
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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.