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COLE FACIAL PLASTIC SURGERY
NPI 1336238443
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Jackson, MS

Active since October 12, 2006
1030 N FLOWOOD DR, STE A, JACKSON, MS 39232(601) 933-2004(601) 896-0112 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Cole Facial Plastic Surgery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLE FACIAL PLASTIC SURGERY (NPI 1336238443) is a healthcare organization registered as an otolaryngology/facial plastic surgery in Jackson, Mississippi and active in the NPI registry since October 2006. The organization lists Jeptha Newton Cole, President, as its authorized official.

NPPES Registry Identity

NPI1336238443
Entity TypeOrganization
Primary Taxonomy207YX0905X
Legal Business NameCOLE FACIAL PLASTIC SURGERY
Location Address1030 N FLOWOOD DR, STE AJackson, MS 39232-9532
Mailing Address1030 N. Flowood Dr., Ste AJackson, MS 39232 · (601) 933-2004 · Fax (601) 896-0112
Phone(601) 933-2004
Fax(601) 896-0112
Organization SubpartNo
Authorized OfficialJeptha Newton ColePresident · (601) 933-2004
Enumeration DateOctober 12, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1336238443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YX0905X
License✔ Licensed in MS · 15530
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
1030 N FLOWOOD DR, Jackson, MS 39232
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Other Identifiers 1

Medicaid00126043MS

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cole Facial Plastic Surgery is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMississippiEnrollment IDO20080715000113Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISSISSIPPI BREAST CENTER PLLC
Surgery
1030 N FLOWOOD DR, SUITE C
FLOWOOD, MS 39232
Rankin County (601) 932-7465
MR. JEPTHA NEWTON COLE M.D.
Otolaryngology (Facial Plastic Surgery)
1030 N FLOWOOD DR
JACKSON, MS 39232
Rankin County (601) 933-2004

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cole Facial Plastic Surgery's NPI number?

The NPI number for Cole Facial Plastic Surgery is 1336238443. It was assigned to this organization in the NPPES registry on October 12, 2006.

Where is Cole Facial Plastic Surgery located?

Cole Facial Plastic Surgery is located at 1030 N Flowood Dr Ste A, Jackson, MS 39232. The listed phone number is (601) 933-2004.

What is Cole Facial Plastic Surgery's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

Is Cole Facial Plastic Surgery enrolled in Medicare?

Yes. Cole Facial Plastic Surgery is registered in the Medicare PECOS enrollment system.

When is Cole Facial Plastic Surgery's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Mississippi, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

When was this NPI record last updated?

The NPPES record for Cole Facial Plastic Surgery was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.