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BRANNON MYRICK
NPI 1700230083
Dentist - Oral and Maxillofacial Surgery in Jackson, MS

Active since April 22, 2016Opted out of Medicare · through Jun 16, 2028
2500 N. STATE ST, DEPARTMENT OF ORAL-MAXILLOFACIAL SURGERY AND PATHOLOGY, JACKSON, MS 39216(601) 984-6090 Get Directions Write a Review

NPPES record last updated: October 2, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brannon Myrick NPPES

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

BRANNON MYRICK (NPI 1700230083) is an individual oral and maxillofacial surgery provider in Jackson, Mississippi, licensed in South Carolina (10273) and active in the NPI registry since April 2016. He has opted out of Medicare through June 16, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1700230083
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameBRANNON MYRICK
Location Address2500 N. STATE ST, DEPARTMENT OF ORAL-MAXILLOFACIAL SURGERY AND PATHOLOGYJackson, MS 39216-4505
Mailing Address2500 N. State St, Department Of Oral-maxillofacial Surgery And PathologyJackson, MS 39216-4505
Phone(601) 984-6090
Sole ProprietorNo
Enumeration DateApril 22, 2016
Last NPPES UpdateOctober 2, 2023
NPPES CertifiedOctober 2, 2023
✔ NPI 1700230083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in SC · 10273
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2500 N. STATE ST, Jackson, MS 39216
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Anthem Blue Cross and Blue Shield and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Brannon Myrick has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 16, 2022 through June 16, 2028.

Opt-Out Effective DateJune 16, 2022
Opt-Out In Effect ThroughJune 16, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

DR. RACHEL ANNE COOPER AU.D.
Audiologist
2500 N. STATE ST
JACKSON, MS 39216
Hinds County (601) 815-6064

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 Brannon Myrick's NPI number?

The NPI number for Brannon Myrick is 1700230083. It was assigned to this individual provider in the NPPES registry on April 22, 2016.

Where is Brannon Myrick located?

Brannon Myrick practices at 2500 N. State St Department Of Oral-Maxillofacial Surgery And Pathology, Jackson, MS 39216. The listed phone number is (601) 984-6090.

What is Brannon Myrick's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Brannon Myrick enrolled in Medicare?

No. Brannon Myrick has opted out of Medicare through June 16, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Brannon Myrick accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Anthem Blue Cross and Blue Shield, BEST Life and Blue Cross and Blue Shield of Alabama and 13 other insurers list Brannon Myrick 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 Brannon Myrick was last updated on October 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.