MEDICARE: MARK STEVEN ELLIOTT MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208200000X	Plastic Surgery Physician	16268	MS
2	174400000X	Specialist	16268	MS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184724718
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARK STEVEN ELLIOTT MD

Provider Business Mailing Address
First Line	:	4612 29TH AVE
Second Line	:
City	:	MERIDIAN
State	:	MS
Zip	:	39305-1652
Country	:	US
Telephone Number	:	601-512-0431
Fax Number	:	601-482-5065

Provider Business Practice Location Address
First Line	:	5002 HIGHWAY 39 N
Second Line	:
City	:	MERIDIAN
State	:	MS
Zip	:	39301-1078
Country	:	US
Telephone Number	:	601-880-3850
Fax Number	:	601-693-7758

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/24/2006
Last Update Date	:	02/06/2025

Similar Medicare Providers

1730182007 — DR. HARRY DURGIN MD
Practice Location Address:

5002 HIGHWAY 39 N BLDG C
MERIDIAN, MS
39301-1078

Practice Phone: 601-385-9111
Practice Fax: 662-328-1507

1861495111 — DR. JAMES R GREEN JR. MD
Practice Location Address:

5002 HIGHWAY 39 N BLDG C
MERIDIAN, MS
39301-1078

Practice Phone: 601-385-9111
Practice Fax: 662-328-1507

1306819297 — DR. DONALD S DAVIS M.D.
Practice Location Address:

5002 HWY 39 N , BLDG A
MERIDIAN, MS
39301-1078

Practice Phone: 601-485-8115
Practice Fax: 601-485-3089

1154423804 — WOODY D. DAVIS M.D.
Practice Location Address:

5002 HIGHWAY 39 N , BLDG. B
MERIDIAN, MS
39301-1078

Practice Phone: 601-483-7331
Practice Fax: 601-483-3721

1043318280 — LEE KINSEY THORNTON M.D.
Practice Location Address:

5002 HIGHWAY 39 N BLDG C
MERIDIAN, MS
39301-1078

Practice Phone: 601-693-7742
Practice Fax: 601-693-7758

1679645352 — PLASTIC CRNA, LLC
Practice Location Address:

5002 HIGHWAY 39 N BLDG D
MERIDIAN, MS
39301-1078

Practice Phone: 601-484-2459
Practice Fax: 601-485-1698

Directions to “ MARK STEVEN ELLIOTT MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.