ELIZABETH REAGAN FRANCIS ROSE MD NPI 1790926780

NPI Information

  • NPI: 1790926780
  • Provider Name: ELIZABETH REAGAN FRANCIS ROSE, MD
  • Classification: Dermatology - 207N00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3 THOMPSON PARK
    HATTIESBURG, MS
    ZIP 39401
  • Phone: (601) 579-3130

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NPI Details

Elizabeth Reagan Francis Rose, MD is a dermatology in Hattiesburg, MS with 16 years of experience. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. Elizabeth Reagan Francis Rose, MD NPI is 1790926780. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduation Year:2009

The provider's business location address is:

3 THOMPSON PARK
HATTIESBURG, MS
ZIP 39401-202
Phone: (601) 579-3130
Fax: (601) 544-3688

The NPI 1790926780 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg (HCPCS:J7345)
  • Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Destruction of precancer skin growth, 1 growth (HCPCS:17000)
  • Destruction of precancer skin growth, 15 or more growths (HCPCS:17004)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Destruction of skin growth, 1-14 growths (HCPCS:17110)
  • Biopsy of related skin growth, first growth (HCPCS:11102)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Punch biopsy, first skin growth (HCPCS:11104)
  • Biopsy of related skin growth, each additional growth (HCPCS:11103)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm (HCPCS:12032)
  • Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm (HCPCS:11642)
  • Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less (HCPCS:12031)
  • Application of light with debridement to destroy precancer skin growth (HCPCS:96574)
  • Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm (HCPCS:13132)
  • Removal of cancer skin growth of body, arms, or legs, 0.6-1.0 cm (HCPCS:11601)
  • Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm (HCPCS:11602)
  • Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) (HCPCS:J7308)
  • Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less (HCPCS:12051)
  • Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm (HCPCS:12052)
  • Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm (HCPCS:12042)
  • Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm (HCPCS:11603)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
  • Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm (HCPCS:11622)
  • Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm (HCPCS:11641)
  • Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 2.1-3.0 cm (HCPCS:11643)
  • Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm (HCPCS:11623)
  • Intermediate repair of wound of neck, hands, feet, or genitals, 2.5 cm or less (HCPCS:12041)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 3/20/2009 and was last updated on 7/21/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207N00000XDermatology22149MISSISSIPPIYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16116388OTHERMISSISSIPPIHEALTHSPRING
205735373MEDICAIDMISSISSIPPI

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: 11/21/2025

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