DR. KIMBERLY NICOLE POWELL D.D.S.
NPI 1003171182
Student in an Organized Health Care Education/Training Program in Jackson, MS

Q: What is Kimberly Powell's NPI number?

The NPI number for Kimberly Powell is 1003171182. It was assigned to this individual provider in the NPPES registry on July 5, 2012.

Q: What is Kimberly Powell's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Powell was last updated on July 5, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 05, 2012PECOS Enrolled

2500 N STATE ST, JACKSON, MS 39216(601) 984-6028 Get Directions Write a Review

NPPES record last updated: July 5, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Kimberly Nicole Powell D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KIMBERLY NICOLE POWELL D.D.S. (NPI 1003171182) is an individual student in an organized health care education/training program in Jackson, Mississippi and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003171182

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. KIMBERLY NICOLE POWELLCredential: D.D.S.

Location Address2500 N STATE STJackson, MS 39216-4500

Mailing Address2500 N State StJackson, MS 39216-4500 · (601) 984-6028

Phone(601) 984-6028

Sole ProprietorYes

Enumeration DateJuly 5, 2012

✔ NPI 1003171182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2500 N STATE ST, Jackson, MS 39216

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of North Carolina, Florida Combined Life.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kimberly Nicole Powell D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

1 supplier11 claims11 services$14.32 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

1 supplier17 claims17 services$39.88 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAMAR DAVIS II M.D.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)