MISSISSIPPI RETINA ASSOCIATES,PLLC – NPI #1740357334
Ophthalmology

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

Health Care Provider Taxonomy Code for Ophthalmology

MISSISSIPPI RETINA ASSOCIATES,PLLC is an ophthalmologist located in MADISON, MS. NPPES has assigned the NPI number 1740357334 to MISSISSIPPI RETINA ASSOCIATES,PLLC on November 29, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207WX0107X from the Health Care Provider Taxonomy code set, which is classified as Ophthalmology, specializing in Retina Specialist

The NPI profile was last updated on Jan 23, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MISSISSIPPI RETINA ASSOCIATES,PLLC below.

NPI Profile for
MISSISSIPPI RETINA ASSOCIATES,PLLC

NPI Number
1740357334
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MISSISSIPPI RETINA ASSOCIATES,PLLC
Primary location
1026 BAPTIST CIR STE 400
MADISON, MS 39110-2028
Phone: (601) 981-4091 Fax: (601) 981-5039
Mailing address
1200 N STATE ST
SUITE 300
JACKSON, MS 39202-2001
Phone: (601) 981-4091 Fax: (601) 981-5039
Organization Subpart
No
Authorized Official
MICHAEL BORNE
PRESIDENT
Phone: (601) 981-4091
Updated
Certification Date
Jan 23, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MISSISSIPPI RETINA ASSOCIATES,PLLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherRAILROAD MEDICAREMSCA5305
medicaidMS09014141
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207WX0107X
- Ophthalmology / Retina Specialist (Primary)
207W00000X
- Ophthalmology		 MS

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.