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KILMICHAEL HOSPITAL PROFESSIONAL GROUP
NPI 1518176445
Radiology - Diagnostic Radiology in Kilmichael, MS

Active since May 21, 2007
301 LAMAR AVE., KILMICHAEL, MS 39747(662) 262-4311(662) 262-5586 Get Directions Write a Review

NPPES record last updated: May 17, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kilmichael Hospital Professional Group NPPES

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

KILMICHAEL HOSPITAL PROFESSIONAL GROUP (NPI 1518176445) is a healthcare organization registered as a diagnostic radiology in Kilmichael, Mississippi and active in the NPI registry since May 2007. The organization lists Calvin Dexter Johnson, Administrator, as its authorized official.

NPPES Registry Identity

NPI1518176445
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameKILMICHAEL HOSPITAL
Location Address301 LAMAR AVE.Kilmichael, MS 39747-0188
Mailing AddressPo Box 188Kilmichael, MS 39747-0188 · (662) 262-4311 · Fax (662) 262-5586
Phone(662) 262-4311
Fax(662) 262-5586
Organization SubpartNo
Authorized OfficialCalvin Dexter JohnsonAdministrator · (662) 262-4311
Enumeration DateMay 21, 2007
Last NPPES UpdateMay 17, 2011
✔ NPI 1518176445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in MS · MS06391
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 12496 (MS), 16482 (MS)
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 000010138 (MS), 10138 (MS)
Also ListedNurse PractitionerTaxonomy 363L00000X · License R605859 (MS)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License R504696 (MS)
301 LAMAR AVE., Kilmichael, MS 39747
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Other Names 1

Doing Business AsKilmichael Hospital Professional Group

Other Identifiers 3

Other19147MS · Professional Component
Medicare OSCAR/certificationC00217MS
Medicaid03335377MS

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Kilmichael Hospital's NPI number?

The NPI number for Kilmichael Hospital is 1518176445. It was assigned to this organization in the NPPES registry on May 21, 2007. The provider is doing business as Kilmichael Hospital Professional Group.

Where is Kilmichael Hospital located?

Kilmichael Hospital is located at 301 Lamar Ave., Kilmichael, MS 39747. The listed phone number is (662) 262-4311.

What is Kilmichael Hospital's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Kilmichael Hospital was last updated on May 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.