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PHILLIP BLEVINS M.D. NPI 1619907045


NPI Information

NPI: 1619907045
Provider Name: PHILLIP BLEVINS, M.D.
Classification: Plastic Surgery - 208200000X
Entity Type: Individual
Address:
2500 N STATE ST
JACKSON, MS
ZIP 39216
Phone: (601) 984-5180
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Phillip Blevins, M.D. is a plastic surgery in Jackson, MS. The provider is 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. Phillip Blevins, M.D. NPI is 1619907045. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2500 N STATE ST
JACKSON, MS
ZIP 39216-500
Phone: (601) 984-5180
Fax: (601) 984-5183

The enumeration date for this NPI number is 7/3/2006 and was last updated on 6/13/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12082S0099XPlastic SurgeryPlastic Surgery Within the Head and Neck07405MISSISSIPPINo
22082S0105XPlastic SurgerySurgery of the Hand07405MISSISSIPPINo
3208200000XPlastic Surgery07405MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1D62906MEDICARE UPINMISSISSIPPI
2512I240019MEDICARE UPIN
3P00795730MEDICARE PINMISSISSIPPI
400012332MEDICAIDMISSISSIPPI
5240000074MEDICARE ID-TYPE UNSPECIFIEDMISSISSIPPI
6302I245607MEDICARE PINMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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