1. Home
  2. Directory
  3. Mississippi
  4. Summit
  5. Family Medicine
  6. NPI Profile

DR. JENNIFER GHOLSON MD
NPI 1174588834
Family Medicine in Summit, MS

Active since April 18, 2006PECOS Enrolled

NPPES record last updated: June 16, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Jennifer Gholson Md NPPES

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

DR. JENNIFER GHOLSON MD (NPI 1174588834) is an individual family medicine provider in Summit, Mississippi, licensed in Mississippi (17561) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174588834
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JENNIFER GHOLSONCredential: MD
Location Address804 ROBB STSummit, MS 39666-8291
Mailing AddressPo Box 1268Summit, MS 39666-1268 · (601) 276-7665
Phone(601) 276-7665
Sole ProprietorNo
Enumeration DateApril 18, 2006
Last NPPES UpdateJune 16, 2015
✔ NPI 1174588834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MS · 17561
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
804 ROBB ST, Summit, MS 39666
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINH60692MS

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jennifer Gholson Md 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jennifer Gholson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Keystone Medical Services Of Ms, Inc
41 mi
Emergency Medicine
233 MAGNOLIA ST
Hazlehurst, MS 39083
  • Reassigned Medicare billing, Mississippi enrollment
  • 159 clinicians in this Medicare group
NPI 1174691059 (601) 894-4541
Mississippi State University
128 mi
Clinical
2121 5TH ST FL 3
Meridian, MS 39301
  • Reassigned Medicare billing, Mississippi enrollment
  • 10 clinicians in this Medicare group
NPI 1588491823 (601) 484-0111

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39666 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
85%79 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers16 claims34 services$5.09 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$196.84 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

SPEARS MEDICAL CLINIC PLLC
Nurse Practitioner (Family)
804 ROBB ST
SUMMIT, MS 39666
Pike County (601) 608-0900
LORI TATE L.C.S.W
Social Worker (Clinical)
804 ROBB ST
SUMMIT, MS 39666
Pike County (601) 276-7665
JENNIFER D GHOLSON MD, LLC
Family Medicine
804 ROBB ST
SUMMIT, MS 39666
Pike County (601) 276-7665
MR. DAMON SCOTT SPEARS RN,MSN, FNP-C
Nurse Practitioner
804 ROBB ST
SUMMIT, MS 39666
Pike County (601) 608-0900

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 Jennifer Gholson's NPI number?

The NPI number for Jennifer Gholson is 1174588834. It was assigned to this individual provider in the NPPES registry on April 18, 2006.

Where is Jennifer Gholson located?

Jennifer Gholson practices at 804 Robb St, Summit, MS 39666. The listed phone number is (601) 276-7665.

What is Jennifer Gholson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jennifer Gholson enrolled in Medicare?

Yes. Jennifer Gholson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jennifer Gholson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Gholson reassigns Medicare benefits to 2 organizations: Keystone Medical Services Of Ms, Inc (Hazlehurst, MS) and Mississippi State University (Meridian, MS). Each 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 Jennifer Gholson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jennifer Gholson was last updated on June 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.