KOSCIUSKO MEDICAL CLINIC
NPI 1790827038
Clinic/Center in Kosciusko, MS
About Kosciusko Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KOSCIUSKO MEDICAL CLINIC (NPI 1790827038) is a healthcare organization registered as a clinic/center in Kosciusko, Mississippi and active in the NPI registry since February 2007. The organization lists Jackey D Turner, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kosciusko Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
41Medicare enrollment records show 41 clinicians reassign Medicare billing to Kosciusko Medical Clinic, which bills Medicare for the services they deliver. Of these, 12 practice at this address and 29 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 7
Nearest to this location (20)
See all 41Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Premier Medical Group Of Mississippi LLC's NPI number?
The NPI number for Premier Medical Group Of Mississippi LLC is 1790827038. It was assigned to this organization in the NPPES registry on February 13, 2007. The provider is doing business as Kosciusko Medical Clinic.
Where is Premier Medical Group Of Mississippi LLC located?
Premier Medical Group Of Mississippi LLC is located at 332 Highway 12 W, Kosciusko, MS 39090. The listed phone number is (662) 289-1800.
What is Premier Medical Group Of Mississippi LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Premier Medical Group Of Mississippi LLC enrolled in Medicare?
Yes. Premier Medical Group Of Mississippi LLC is registered in the Medicare PECOS enrollment system.
When is Premier Medical Group Of Mississippi LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Mississippi, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Premier Medical Group Of Mississippi LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 41 clinicians in 7 Medicare specialties reassign their Medicare billing to Premier Medical Group Of Mississippi LLC. A 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 the clinician's services. The largest specialties are Nurse Practitioner (18), Family Practice (9) and Occupational Therapist in Private Practice (6). Of these, 12 practice at this address and 29 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Premier Medical Group Of Mississippi LLC 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 Premier Medical Group Of Mississippi LLC 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 Premier Medical Group Of Mississippi LLC was last updated on October 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Kosciusko Medical Clinic · NPI 1790827038
Clinic/Center organization in Kosciusko, Mississippi. Organization record, active in the CMS NPPES registry since February 13, 2007.
## Identity
- **NPI:** 1790827038 (Entity type: Organization)
- **Enumerated:** February 13, 2007
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Legal business name:** Premier Medical Group Of Mississippi Llc
- **Organization subpart:** No
- **Authorized official:** Jackey Turner, MEDICAL DIRECTOR
## Practice location
- **Address:** 332 HIGHWAY 12 W, Kosciusko, MS 39090-3209
- **Phone:** (662) 289-1800
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Mississippi, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 41 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (18), Family Practice (9), Occupational Therapist in Private Practice (6); 12 practice at this address and 29 within 10 miles; [full list](https://npiprofile.com/npi/1790827038/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 2, 2008
- **Other identifiers:** Other CG1185 (MS); Medicare NSC 3904490001 (MS); Medicaid 09015162 (MS); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1790827038) · Data from the CMS NPPES public registry.