KELBE LOGAN DMD
NPI 1407668213
Dentist in Jackson, MS

Q: What is Kelbe Logan's NPI number?

The NPI number for Kelbe Logan is 1407668213. It was assigned to this individual provider in the NPPES registry on January 21, 2025.

Q: What is Kelbe Logan's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Kelbe Logan was last updated on January 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.

Active since January 21, 2025PECOS Enrolled

2500 N STATE ST, JACKSON, MS 39216(601) 815-5514 Get Directions Write a Review

NPPES record last updated: January 21, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Kelbe Logan Dmd NPPES

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

KELBE LOGAN DMD (NPI 1407668213) is an individual dentist in Jackson, Mississippi, licensed in Mississippi (4493-25) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS and is a graduate of University Of Mississippi Medical Center School Of Dentistry (2024).

NPPES Registry Identity

NPI1407668213

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameKELBE LOGANCredential: DMD

Location Address2500 N STATE STJackson, MS 39216-4500

Mailing Address761 Rice Rd Apt 319Ridgeland, MS 39157-1089 · (662) 739-8428

Phone(601) 815-5514

Sole ProprietorNo

Medical School CMSUniversity Of Mississippi Medical Center School Of DentistryGraduated 2024

Enumeration DateJanuary 21, 2025

NPPES CertifiedJanuary 21, 2025

✔ NPI 1407668213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MS · 4493-25

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

2500 N STATE ST, Jackson, MS 39216

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Combined Life.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelbe Logan Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1557821162

PECOS Enrollment IDI20260902003961

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 Reassignment

Medicare enrollment records show Kelbe Logan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gila River Health Care

1,256 mi

Community/Behavioral Health

291 W CASA BLANCA RD
Sacaton, AZ 85147

Reassigned Medicare billing, Texas enrollment
482 clinicians in this Medicare group

NPI 1417237074 (520) 562-3356

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 39216 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

$64.96 typical visit price

range $16.15 – $129.61

Typical copayment $16.24 (range $4.03 – $32.40)

Most-billed visit code 99213

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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