MISSISSIPPI EAR, NOSE AND THROAT SURGICAL ASSOCIATES, PC
NPI 1679905210
Specialist in Flowood, MS

Active since August 06, 2013
2550 FLOWOOD DR, SUITE 303, FLOWOOD, MS 39232(601) 709-7707(601) 709-7701 Get Directions Write a Review

NPPES record last updated: May 28, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mississippi Ear, Nose And Throat Surgical Associates, Pc NPPES

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

MISSISSIPPI EAR, NOSE AND THROAT SURGICAL ASSOCIATES, PC (NPI 1679905210) is a healthcare organization registered as a specialist in Flowood, Mississippi and active in the NPI registry since August 2013. The organization lists Clarence M Osborne, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1679905210
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMISSISSIPPI EAR, NOSE AND THROAT SURGICAL ASSOCIATES, PC
Location Address2550 FLOWOOD DR, SUITE 303Flowood, MS 39232-9303
Mailing Address2550 Flowood Dr, Suite 303Flowood, MS 39232-9303 · (601) 709-7707 · Fax (601) 709-7701
Fax(601) 709-7701
Organization SubpartNo
Authorized OfficialClarence M OsborneMedical Director · (601) 709-7707
Enumeration DateAugust 6, 2013
Last NPPES UpdateMay 28, 2014
✔ NPI 1679905210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MS · 12145
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2550 FLOWOOD DR, Flowood, MS 39232

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 SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mississippi Ear, Nose And Throat Surgical Associates, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

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 IDO20040825000904Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Mississippi Ear, Nose And Throat Surgical Associates, PC, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Qualified Audiologist
NPI 1265726608
2550 FLOWOOD DRIVE SUITE 303
Flowood, MS 39232
(601) 709-7700
Same address
Otolaryngology
NPI 1184703118
2550 FLOWOOD DR STE 303
Flowood, MS 39232
(601) 709-7700
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1023455169
2550 FLOWOOD DR STE 303
Flowood, MS 39232
(601) 709-7700
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1679792295
2550 FLOWOOD DRIVE SUITE 303
Flowood, MS 39232
(601) 709-7700
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1255427696
2550 FLOWOOD DRIVE SUITE 303
Flowood, MS 39232
(601) 709-7700
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1548356983
2550 FLOWOOD DRIVE SUITE 303
Flowood, MS 39232
(601) 709-7700
✔ PECOSSame address
Qualified Audiologist
NPI 1346555281
2500 N STATE ST DEPT OF OTOLARYNGOLOGY
Jackson, MS 39216
(601) 984-5160
4.1 mi
Qualified Audiologist
NPI 1861126591
2033 NORMANDIE DR
Montgomery, AL 36111
(720) 660-5293
224 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 Ear, Nose And Throat Surgical Associates, PC's NPI number?

The NPI number for Mississippi Ear, Nose And Throat Surgical Associates, PC is 1679905210. It was assigned to this organization in the NPPES registry on August 6, 2013.

Where is Mississippi Ear, Nose And Throat Surgical Associates, PC located?

Mississippi Ear, Nose And Throat Surgical Associates, PC is located at 2550 Flowood Dr Suite 303, Flowood, MS 39232. The listed phone number is (601) 709-7707.

What is Mississippi Ear, Nose And Throat Surgical Associates, PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Mississippi Ear, Nose And Throat Surgical Associates, PC enrolled in Medicare?

Yes. Mississippi Ear, Nose And Throat Surgical Associates, PC is registered in the Medicare PECOS enrollment system.

When is Mississippi Ear, Nose And Throat Surgical Associates, PC'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 November 30, 2026. 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.

How many clinicians bill Medicare through Mississippi Ear, Nose And Throat Surgical Associates, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 2 Medicare specialties reassign their Medicare billing to Mississippi Ear, Nose And Throat Surgical Associates, PC. 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 Otolaryngology (5) and Qualified Audiologist (3). Of these, 6 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mississippi Ear, Nose And Throat Surgical Associates, PC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Mississippi Ear, Nose And Throat Surgical Associates, PC 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 Ear, Nose And Throat Surgical Associates, PC was last updated on May 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.