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KENEISHA DEAN
NPI 1295344224
Family Medicine in Canton, MS

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: November 01, 2026.

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 Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

2

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

G A Carmichael Family Health Center Inc
2.4 mi
Federally Qualified Health Center (FQHC)
364 MARTIN LUTHER KING DR
Canton, MS 39046
  • Reassigned Medicare billing, Mississippi enrollment
  • 25 clinicians in this Medicare group
NPI 1023175957 (601) 859-3578
Central Mississippi Health Services, Inc
18 mi
Federally Qualified Health Center (FQHC)
500 W COUNTY LINE RD
Tougaloo, MS 39174
  • Reassigned Medicare billing, Mississippi enrollment
  • 20 clinicians in this Medicare group
NPI 1982746087 (601) 948-5574

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

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.

KIM'EIKA CROSBY LIFESTYLE COACH
Health and Wellness Coach
1668 W PEACE ST
CANTON, MS 39046
Madison County (601) 859-5213
G A CARMICHAEL FAMILY HEALTH CENTER, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
1668 W PEACE ST
CANTON, MS 39046
Madison County (601) 859-5213
RANDY S LOVE DMD
Dentist
1668 W PEACE ST
CANTON, MS 39046
Madison County (601) 859-5213
CHRIS FIELDS
Clinical Exercise Physiologist
1668 W PEACE ST
CANTON, MS 39046
Madison County (601) 329-5751
ANGELA JONES-STEWART FNP-C
Nurse Practitioner (Family)
1668 W PEACE ST
CANTON, MS 39046
Madison County (601) 859-5213
JESSICA NICOLE BROWN NP
Nurse Practitioner (Family)
1668 W PEACE ST
CANTON, MS 39046
Madison County (601) 859-5213
DENESSA V POTTS DMD
Dentist
1668 W PEACE ST
CANTON, MS 39046
Madison County (601) 859-5213
SHAMEKKA NICOLETTE SKINNER
Nurse Practitioner (Family)
1668 W PEACE ST
CANTON, MS 39046
Madison County (601) 859-5213

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 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.

Where is Keneisha Dean located?

Keneisha Dean practices at 1668 W Peace St, Canton, MS 39046. The listed phone number is (662) 859-5213.

What is Keneisha Dean's specialty?

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

Is Keneisha Dean enrolled in Medicare?

Yes. Keneisha Dean is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Keneisha Dean's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keneisha Dean reassigns Medicare benefits to 2 organizations: G A Carmichael Family Health Center Inc (Canton, MS) and Central Mississippi Health Services, Inc (Tougaloo, 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 Keneisha Dean's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Keneisha Dean accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Keneisha Dean 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.

Is Keneisha Dean affiliated with any hospitals?

According to CMS data, Keneisha Dean is affiliated with Merit Health Madison.

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.