KENEISHA DEAN
NPI 1295344224
Family Medicine in Canton, MS

Q: What is Keneisha Dean's NPI number?

The NPI number for Keneisha Dean is 1295344224. It was assigned to this individual provider in the NPPES registry on July 27, 2020.

Q: What is Keneisha Dean's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Keneisha Dean was last updated on July 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since July 27, 2020PECOS EnrolledAccepts Medicare Assignment

1668 W PEACE ST, CANTON, MS 39046(662) 859-5213 Get Directions Write a Review

NPPES record last updated: July 27, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Keneisha Dean NPPES

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

KENEISHA DEAN (NPI 1295344224) is an individual family medicine provider in Canton, Mississippi, licensed in Mississippi (903945) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, is affiliated with Merit Health Madison, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1295344224

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameKENEISHA DEAN

Location Address1668 W PEACE STCanton, MS 39046-5332

Mailing Address416 Forest LnRidgeland, MS 39157-4134 · (662) 299-9517

Phone(662) 859-5213

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateJuly 27, 2020

NPPES CertifiedJuly 27, 2020

✔ NPI 1295344224 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 · 903945

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.

1668 W PEACE ST, Canton, MS 39046

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Keneisha Dean is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274952205

PECOS Enrollment IDI20200924002058

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Merit Health Madison

Acute Care Hospitals · Canton, MS

OwnershipProprietary

CMS Certification Number250038

Location161 River Oaks DriveCanton, MS 39046 · Madison County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39046 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.

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.

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