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KING'S DAUGHTERS OB-GYN CLINIC
NPI 1114871357
Obstetrics & Gynecology in Brookhaven, MS

Active since February 24, 2026CLIA Certified · 2 labs
1012 D A BIGLANE DR, BROOKHAVEN, MS 39601(601) 833-8157(601) 833-1633 Get Directions Write a Review

NPPES record last updated: February 24, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About King's Daughters Ob-gyn Clinic NPPES

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

KING'S DAUGHTERS OB-GYN CLINIC (NPI 1114871357) is a healthcare organization registered as an obstetrics & gynecology in Brookhaven, Mississippi and active in the NPI registry since February 2026. The organization holds 2 active CLIA laboratory certificates and lists Scott Christensen, Ceo, as its authorized official.

NPPES Registry Identity

NPI1114871357
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameKING'S DAUGHTERS OB-GYN CLINIC
Location Address1012 D A BIGLANE DRBrookhaven, MS 39601-2331
Mailing Address1012 D A Biglane DrBrookhaven, MS 39601-2331 · (601) 833-8157 · Fax (601) 833-1633
Phone(601) 833-8157
Fax(601) 833-1633
Organization SubpartYesParent: Kdmc Physician Clinics Llc
Authorized OfficialScott ChristensenCeo · (601) 833-6011
Enumeration DateFebruary 24, 2026
NPPES CertifiedFebruary 24, 2026
✔ NPI 1114871357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1012 D A BIGLANE DR, Brookhaven, MS 39601
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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 Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

King's Daughters Ob-gyn Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to King's Daughters Ob-Gyn Clinic, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

William Rushing, M.D.
Obstetrics/Gynecology
NPI 1790891679
1012 D A BIGLANE DR
Brookhaven, MS 39601
(601) 833-8157
✔ PECOS✔ Accepts Medicare2.0 mi
Joey Sessums, M.D.
Obstetrics/Gynecology
NPI 1316054976
1012 D A BIGLANE DR
Brookhaven, MS 39601
(601) 833-8157
✔ PECOS✔ Accepts Medicare2.0 mi
Leighcher Gray, M.D.
Obstetrics/Gynecology
NPI 1043326929
1012 D A BIGLANE DRIVE
Brookhaven, MS 39601
(601) 833-8157
✔ PECOS2.0 mi
Yaminah Johnson, FNP
Nurse Practitioner
NPI 1417770876
1012 BIG LANE DR
Brookhaven, MS 39601
(601) 833-8157
✔ PECOS✔ Accepts Medicare4.6 mi
Daniel Sanford, MD
Obstetrics/Gynecology
NPI 1801839808
333 S 3RD ST
Danville, KY 40422
(859) 236-7712
✔ PECOS530 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 25D0319976

King's Dauhters Ob-Gyn Clinic, LLC · Brookhaven, MS
Active · expires May 3, 2028
CLIA Number25D0319976
Laboratory TypePhysician Office
Certificate Effective DateMay 4, 2026
Certificate Expiration DateMay 3, 2028
Laboratory DirectorVerena K. Earls-Bunch
Laboratory Phone(601) 833-8157
Laboratory LocationKing's Dauhters Ob-Gyn Clinic, LLC1012 Biglane Dr, Brookhaven, MS 39601
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 25D1080918

King's Daughters Wound Clinic · Brookhaven, MS
Active · expires Mar 4, 2028
CLIA Number25D1080918
Laboratory TypeOther
Certificate Effective DateMarch 5, 2026
Certificate Expiration DateMarch 4, 2028
Laboratory DirectorRobert B. Britt
Laboratory Phone(601) 833-6011
Laboratory LocationKing's Daughters Wound Clinic427 Highway 51 North, Brookhaven, MS 39601
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 King's Daughters Ob-Gyn Clinic's NPI number?

The NPI number for King's Daughters Ob-Gyn Clinic is 1114871357. It was assigned to this organization in the NPPES registry on February 24, 2026.

Where is King's Daughters Ob-Gyn Clinic located?

King's Daughters Ob-Gyn Clinic is located at 1012 D A Biglane Dr, Brookhaven, MS 39601. The listed phone number is (601) 833-8157.

What is King's Daughters Ob-Gyn Clinic's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is King's Daughters Ob-Gyn Clinic enrolled in Medicare?

Yes. King's Daughters Ob-Gyn Clinic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through King's Daughters Ob-Gyn Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to King's Daughters Ob-Gyn Clinic. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Obstetrics/Gynecology (4) and Nurse Practitioner (1). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does King's Daughters Ob-Gyn Clinic hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does King's Daughters Ob-Gyn Clinic accept?

Health plans from Molina Healthcare list King's Daughters Ob-Gyn Clinic 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 King's Daughters Ob-Gyn Clinic was last updated on February 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.