Kdmc Physician Clinics LLC
NPI 1861739161ActiveOrganization· Clinic/Center, Multi-Specialty· Brookhaven, MS
Clinic/Center, Multi-Specialty in Brookhaven, Mississippi, registered in NPPES in January 2013, part of Kings Daughters Medical Center. The authorized official on file is Scott Christensen, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1861739161 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Kings Daughters Medical Center |
| NPI issued | Jan 8, 2013 |
| Last updated in NPPES | Mar 27, 2023 |
| Certified by provider | Mar 27, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center, Multi-Specialty Primary | 261QM1300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MS) |
|---|