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DR. KAISHA RENADA GRIFFIN M.D.
NPI 1619188026
Pediatrics in Jackson, MS

Active since May 25, 2007PECOS Enrolled
350 W WOODROW WILSON AVE, JACKSON, MS 39213(601) 709-5130(601) 709-5151 Get Directions Write a Review

NPPES record last updated: June 25, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Kaisha Renada Griffin M.d. NPPES

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

DR. KAISHA RENADA GRIFFIN M.D. (NPI 1619188026) is an individual pediatrics provider in Jackson, Mississippi, licensed in Mississippi (21093) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619188026
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. KAISHA RENADA GRIFFINCredential: M.D.
Location Address350 W WOODROW WILSON AVEJackson, MS 39213-7681
Mailing Address105 Mason CoveMadison, MS 39110
Phone(601) 709-5130
Fax(601) 709-5151
Sole ProprietorNo
Enumeration DateMay 25, 2007
Last NPPES UpdateJune 25, 2011
✔ NPI 1619188026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in MS · 21093✔ Licensed in MS · T-1990
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
350 W WOODROW WILSON AVE, Jackson, MS 39213
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Oscar Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kaisha Renada Griffin M.d. 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.

Medicare Billing Reassignment

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

State Of Mississippi - University Of Mississippi Medical Center
Same address
Rehabilitation
350 W WOODROW WILSON AVE STE 600
Jackson, MS 39213
  • Reassigned Medicare billing, Mississippi enrollment
  • 1,932 clinicians in this Medicare group
NPI 1619778586 (601) 815-6700

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 39213 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.

JACKSON STATE UNIVERSITY
Social Worker (Clinical)
350 W WOODROW WILSON AVE
JACKSON, MS 39213
Hinds County (601) 979-1531
DR. EVA MAE HENDERSON M.D.
Pediatrics
350 W WOODROW WILSON AVE
JACKSON, MS 39213
Hinds County (601) 709-5150
WANDA JOHNSON BCFNP
Nurse Practitioner (Family)
350 W WOODROW WILSON AVE, SUITE 411
JACKSON, MS 39213
Hinds County (601) 364-2666
DR. SHEILA KALKA JEFF MD
Family Medicine
350 W WOODROW WILSON AVE, BOX 20
JACKSON, MS 39213
Hinds County (601) 364-2666
TIMOTHY PAUL MCNEILL RN
Registered Nurse
350 W WOODROW WILSON AVE, #499A
JACKSON, MS 39213
Hinds County (601) 500-7709
DR. KANDIS VECHELLE BACKUS PHARMD
Pharmacist (Ambulatory Care)
350 W WOODROW WILSON AVE
JACKSON, MS 39213
Hinds County (601) 815-3272
DR. SRINIVASAN VIJAYAKUMAR M.D.
Radiology (Radiation Oncology)
350 W WOODROW WILSON AVE, SUITE 16
JACKSON, MS 39213
Hinds County (601) 815-6886
MEDICAL MALL HEALTH SERVICES OF MISSISSIPPI, LLC
Nurse Practitioner (Primary Care)
350 W WOODROW WILSON AVE, SUITE 499A
JACKSON, MS 39213
Hinds County (601) 700-7709

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 Kaisha Griffin's NPI number?

The NPI number for Kaisha Griffin is 1619188026. It was assigned to this individual provider in the NPPES registry on May 25, 2007.

Where is Kaisha Griffin located?

Kaisha Griffin practices at 350 W Woodrow Wilson Ave, Jackson, MS 39213. The listed phone number is (601) 709-5130.

What is Kaisha Griffin's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kaisha Griffin enrolled in Medicare?

Yes. Kaisha Griffin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kaisha Griffin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kaisha Griffin reassigns Medicare benefits to State Of Mississippi - University Of Mississippi Medical Center (Jackson, MS). The 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 Kaisha Griffin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kaisha Griffin accept?

Health plans from Molina Healthcare and Oscar Health Plan, Inc. list Kaisha Griffin 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.

When was this NPI record last updated?

The NPPES record for Kaisha Griffin was last updated on June 25, 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.