Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619907045 Individual Practitioner Male Practitioner

Dr. Phillip Blevins , MD

Plastic Surgery • Jackson, MS

Professional Overview & Biography Verified Profile Summary

Dr. Phillip Blevins, MD is a registered healthcare professional specializing in Plastic Surgery in Jackson, MS. Practice services are available at 2500 N STATE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2500 N State St

Jackson, MS 392164500

Telephone 6019845180
Fax 6019845183
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Jackson, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.0 Yrs
State Avg: 28.2 Yrs
Regional Practice Density
12 Specialists

Practicing in Jackson, MS (35 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License MS 07405

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.

Plastic Surgery - Plastic Surgery Within the Head and Neck

NUCC Taxonomy Code: 2082S0099X

State License MS 07405

A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them.

Plastic Surgery - Surgery of the Hand

NUCC Taxonomy Code: 2082S0105X

State License MS 07405

A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
00012332 (MS)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1134581044

Registered Nurse, Bachelor of Science in Nursing, CNOR, RNFA

Leila Lanning , FNP-C

Nurse Practitioner

NPI 1265831184

Family Nurse Practitioner (Certified)

NPI 1417038290

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 13, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location June 13, 2012

Registered at 2500 N STATE ST, JACKSON, MS 392164500 (Tel: 6019845180)

📍
Updated Business Mailing Address June 13, 2012

Registered at PO BOX 24146, JACKSON, MS 392254146 (Tel: 6019845180)

👤
Provider Name / Credentials Updated June 13, 2012

Recorded as PHILLIP BLEVINS, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 13, 2012

Plastic Surgery (License #07405 in MS)

🟢
Initial NPI Registration & Enumeration July 03, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619907045
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 03, 2006
Last Update: June 13, 2012
Sole Proprietor: No

Mailing Address

Po Box 24146

Jackson, MS 392254146

Phone: 6019845180

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.