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KELLEN DAWSON
NPI 1033615919
Pathology - Dermatopathology in Jackson, MS

Active since April 01, 2018PECOS Enrolled
3120 OLD CANTON RD, JACKSON, MS 39216(800) 685-3772 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kellen Dawson NPPES

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

KELLEN DAWSON (NPI 1033615919) is an individual dermatopathology provider in Jackson, Mississippi, licensed in Mississippi (31541) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033615919
Entity TypeIndividualFemale
Primary Taxonomy207ZD0900X
Provider Legal NameKELLEN DAWSON
Location Address3120 OLD CANTON RDJackson, MS 39216-4219
Mailing Address3120 Old Canton RdJackson, MS 39216-4219 · (337) 654-1478
Phone(800) 685-3772
Sole ProprietorYes
Enumeration DateApril 1, 2018
Last NPPES UpdateOctober 6, 2025
NPPES CertifiedOctober 6, 2025
✔ NPI 1033615919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · DermatopathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZD0900X
License✔ Licensed in MS · 31541
Definition
A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy.
3120 OLD CANTON RD, Jackson, MS 39216
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.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)

Kellen Dawson 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$120.41 typical visit price
range $51.65 – $159.18
Typical copayment $30.10 (range $12.91 – $39.79)
Most-billed visit code 99204
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

JENNIFER S SCHULMEIER MD
Pathology (Dermatopathology)
3120 OLD CANTON RD
JACKSON, MS 39216
Hinds County (601) 362-9851
DERMATOPATHOLOGY ASSOCIATES, PLLC
Clinical Medical Laboratory
3120 OLD CANTON RD
JACKSON, MS 39216
Hinds County (601) 362-9851
BUU DUONG MD
Pathology (Dermatopathology)
3120 OLD CANTON RD
JACKSON, MS 39216
Hinds County (601) 362-9851

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kellen Dawson's NPI number?

The NPI number for Kellen Dawson is 1033615919. It was assigned to this individual provider in the NPPES registry on April 1, 2018.

Where is Kellen Dawson located?

Kellen Dawson practices at 3120 Old Canton Rd, Jackson, MS 39216. The listed phone number is (800) 685-3772.

What is Kellen Dawson's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Dermatopathology, with taxonomy code 207ZD0900X.

Is Kellen Dawson enrolled in Medicare?

Yes. Kellen Dawson is registered in the Medicare PECOS enrollment system.

What insurance does Kellen Dawson accept?

Health plans from Blue Cross and Blue Shield of Alabama list Kellen Dawson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kellen Dawson was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.