MISSISSIPPI PREMIER PLASTIC SURGERY, PLLC
NPI 1639320864
Surgery - Plastic and Reconstructive Surgery in Madison, MS

Q: What is Mississippi Premier Plastic Surgery, PLLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Active since October 07, 2008

160 FOUNTAINS BLVD, SUITE B, MADISON, MS 39110(601) 981-2525(601) 981-3152 Get Directions Write a Review

NPPES record last updated: September 26, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 26, 2022, May 20, 2020, May 10, 2018 (3 updates tracked since 2018).

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About Mississippi Premier Plastic Surgery, Pllc NPPES

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

MISSISSIPPI PREMIER PLASTIC SURGERY, PLLC (NPI 1639320864) is a healthcare organization registered as a plastic and reconstructive surgery in Madison, Mississippi and active in the NPI registry since October 2008. The organization maintains a secondary practice location in Jackson and lists Patricia B Byers, Credentialing Director, as its authorized official.

NPPES Registry Identity

NPI1639320864

Entity TypeOrganization

Primary Taxonomy2086S0122X

Legal Business NameMISSISSIPPI PREMIER PLASTIC SURGERY, PLLC

Location Address160 FOUNTAINS BLVD, SUITE BMadison, MS 39110-4643

Mailing Address160 Fountains Blvd, Suite BMadison, MS 39110-4643 · (601) 981-2525 · Fax (601) 981-3152

Phone(601) 981-2525

Fax(601) 981-3152

Organization SubpartNo

Authorized OfficialPatricia B ByersCredentialing Director · (601) 981-2525

Enumeration DateOctober 7, 2008

Last NPPES UpdateSeptember 26, 20223 updates tracked since enumeration

NPPES CertifiedSeptember 26, 2022

✔ NPI 1639320864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0122X

Definition

A surgeon who specializes in plastic and reconstructive surgery.

Also ListedPlastic SurgeryTaxonomy 208200000X

Also ListedPlastic Surgery · Plastic Surgery Within the Head and NeckTaxonomy 2082S0099X

Also ListedPlastic Surgery · Surgery of the HandTaxonomy 2082S0105X

Also ListedSurgery · Surgery of the HandTaxonomy 2086S0105X

160 FOUNTAINS BLVD, Madison, MS 39110

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Secondary Practice Location 1

Location 1971 Lakeland Dr Ste 315Jackson, MS 39216-4607 · Phone (601) 981-2525 · Fax (601) 981-3152

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mississippi Premier Plastic Surgery, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 7 clinicians reassign Medicare billing to Mississippi Premier Plastic Surgery, PLLC, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Erica Bass, M.D.

Plastic and Reconstructive Surgery

NPI 1366604100

160 FOUNTAINS BLVD STE B
Madison, MS 39110

(601) 981-2525

✔ PECOS✔ Accepts Medicare5.7 mi

William Jackson, MD

Plastic and Reconstructive Surgery

NPI 1194858688

160 FOUNTAINS BLVD STE B
Madison, MS 39110

(601) 981-2525

✔ PECOS✔ Accepts Medicare5.7 mi

Emile Picarella, MD

Plastic and Reconstructive Surgery

NPI 1467663906

160 FOUNTAINS BLVD STE B
Madison, MS 39110

(601) 981-2525

✔ PECOS5.7 mi

Somprasong Songcharoen, M.D.

Plastic and Reconstructive Surgery

NPI 1689615486

160 FOUNTAINS BLVD STE B
Madison, MS 39110

(601) 981-2525

✔ PECOS✔ Accepts Medicare5.7 mi

Somjade Songcharoen, MD

Plastic and Reconstructive Surgery

NPI 1255628517

971 LAKELAND DR STE 315
Jackson, MS 39216

(601) 414-9530

✔ PECOS✔ Accepts Medicare9.7 mi

Tina Chandler, FNP

Nurse Practitioner

NPI 1164153979

125 EARL CLARK DR
Florence, MS 39073

(601) 891-8657

✔ PECOS✔ Accepts Medicare22 mi

Sana Bhatti, M.D.

Plastic and Reconstructive Surgery

NPI 1821351107

4715 24TH PL
Meridian, MS 39305

(601) 693-7742

✔ PECOS✔ Accepts Medicare84 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Mississippi Premier Plastic Surgery, PLLC's NPI number?

The NPI number for Mississippi Premier Plastic Surgery, PLLC is 1639320864. It was assigned to this organization in the NPPES registry on October 7, 2008.

Where is Mississippi Premier Plastic Surgery, PLLC located?

Mississippi Premier Plastic Surgery, PLLC is located at 160 Fountains Blvd Suite B, Madison, MS 39110. The listed phone number is (601) 981-2525.

What is Mississippi Premier Plastic Surgery, PLLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Mississippi Premier Plastic Surgery, PLLC enrolled in Medicare?

Yes. Mississippi Premier Plastic Surgery, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mississippi Premier Plastic Surgery, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Mississippi Premier Plastic Surgery, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Plastic and Reconstructive Surgery (6) and Nurse Practitioner (1). Of these, 5 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mississippi Premier Plastic Surgery, PLLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Mississippi Premier Plastic Surgery, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mississippi Premier Plastic Surgery, PLLC was last updated on September 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.