PHILLIP BLEVINS M.D.
NPI 1619907045
Plastic Surgery in Jackson, MS

Q: What is Phillip Blevins's NPI number?

The NPI number for Phillip Blevins is 1619907045. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Q: What is Phillip Blevins's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Q: When was this NPI record last updated?

The NPPES record for Phillip Blevins was last updated on June 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since July 03, 2006

2500 N STATE ST, JACKSON, MS 39216(601) 984-5180(601) 984-5183 Get Directions Write a Review

NPPES record last updated: June 13, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Phillip Blevins M.d. NPPES

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

PHILLIP BLEVINS M.D. (NPI 1619907045) is an individual plastic surgery provider in Jackson, Mississippi, licensed in Mississippi (07405) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1619907045

Entity TypeIndividualMale

Primary Taxonomy208200000X

Provider Legal NamePHILLIP BLEVINSCredential: M.D.

Location Address2500 N STATE STJackson, MS 39216-4500

Mailing AddressPo Box 24146Jackson, MS 39225-4146 · (601) 984-5180 · Fax (601) 984-5183

Phone(601) 984-5180

Fax(601) 984-5183

Sole ProprietorNo

Enumeration DateJuly 3, 2006

Last NPPES UpdateJune 13, 2012

✔ NPI 1619907045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

License✔ Licensed in MS · 07405

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Also ListedPlastic Surgery · Plastic Surgery Within the Head and NeckTaxonomy 2082S0099X · License 07405 (MS)

Also ListedPlastic Surgery · Surgery of the HandTaxonomy 2082S0105X · License 07405 (MS)

2500 N STATE ST, Jackson, MS 39216

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Other Identifiers 6

Medicare UPIND62906MS

Medicare UPIN512I240019

Medicare PINP00795730MS

Medicaid00012332MS

Medicare ID-Type Unspecified240000074MS

Medicare PIN302I245607MS

Other Providers at the Same Location NPPES 20

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

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