Tupelo Plastic Surgery Clinic of Tupelo PA
NPI 1649381104 · Plastic Surgery Physician · Tupelo, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tupelo Plastic Surgery Clinic of Tupelo PA is a Plastic Surgery Physician organization in Tupelo, MS (NPI 1649381104).
Provider details
- NPI number
- 1649381104
- Entity type
- Organization
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Robert Buckley, MD(662) 377-6630
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
Mailing address
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2008-02-29
Frequently asked questions
- What is Tupelo Plastic Surgery Clinic of Tupelo PA's NPI number?
- Tupelo Plastic Surgery Clinic of Tupelo PA's National Provider Identifier (NPI) is 1649381104, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tupelo Plastic Surgery Clinic of Tupelo PA?
- Tupelo Plastic Surgery Clinic of Tupelo PA is classified in the NPPES registry as Plastic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Tupelo Plastic Surgery Clinic of Tupelo PA located?
- Tupelo Plastic Surgery Clinic of Tupelo PA's practice location on file with NPPES is 4381 S Eason Blvd Ste 101, Tupelo, MS 38801-6586.
- What is Tupelo Plastic Surgery Clinic of Tupelo PA's phone number?
- The practice phone number listed in the NPPES registry for Tupelo Plastic Surgery Clinic of Tupelo PA is (662) 377-6630.
- Does Tupelo Plastic Surgery Clinic of Tupelo PA accept Medicare?
- Tupelo Plastic Surgery Clinic of Tupelo PA 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 Tupelo Plastic Surgery Clinic of Tupelo PA?
- The authorized official listed on Tupelo Plastic Surgery Clinic of Tupelo PA's NPPES record is Robert Buckley, MD. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tupelo Plastic Surgery Clinic of Tupelo PA's NPI active?
- Yes — Tupelo Plastic Surgery Clinic of Tupelo PA's NPI (1649381104) is active in the NPPES registry as of the last update on 2008-02-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.