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SHIRLEY KIMBLE
NPI 1306673553
Nurse Practitioner - Primary Care in Doddsville, MS

Active since September 19, 2024PECOS Enrolled
106 POND STREET EXT, DODDSVILLE, MS 38736(662) 402-6884 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shirley Kimble NPPES

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

SHIRLEY KIMBLE (NPI 1306673553) is an individual primary care provider in Doddsville, Mississippi, licensed in Mississippi (906327) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Greenville.

NPPES Registry Identity

NPI1306673553
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameSHIRLEY KIMBLE
Location Address106 POND STREET EXTDoddsville, MS 38736
Mailing Address1241 Highway 1 SGreenville, MS 38701-6444
Phone(662) 402-6884
Sole ProprietorNo
Enumeration DateSeptember 19, 2024
NPPES CertifiedSeptember 9, 2024
✔ NPI 1306673553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in MS · 906327
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 906327 (MS)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 906327 (MS)
106 POND STREET EXT, Doddsville, MS 38736
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Secondary Practice Location 1

Location 11693 S Colorado StGreenville, MS 38703-7211 · Phone (662) 402-6884

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shirley Kimble 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 38736 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.

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 Shirley Kimble's NPI number?

The NPI number for Shirley Kimble is 1306673553. It was assigned to this individual provider in the NPPES registry on September 19, 2024.

Where is Shirley Kimble located?

Shirley Kimble practices at 106 Pond Street Ext, Doddsville, MS 38736. The listed phone number is (662) 402-6884.

What is Shirley Kimble's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Shirley Kimble enrolled in Medicare?

Yes. Shirley Kimble is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shirley Kimble was last updated on September 19, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.