KOSCIUSKO MEDICAL CLINIC
NPI 1790827038
Clinic/Center in Kosciusko, MS

Q: What is Premier Medical Group Of Mississippi LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since February 13, 2007

332 HIGHWAY 12 W, KOSCIUSKO, MS 39090(662) 289-1800 Get Directions Write a Review

NPPES record last updated: October 2, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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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

NPI1790827038

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NamePREMIER MEDICAL GROUP OF MISSISSIPPI LLC

Location Address332 HIGHWAY 12 WKosciusko, MS 39090-3209

Mailing AddressPo Box 23996Jackson, MS 39225-3996 · (601) 206-6100 · Fax (601) 206-6052

Phone(662) 289-1800

Organization SubpartNo

Authorized OfficialJackey D TurnerMedical Director · (662) 289-1800

Enumeration DateFebruary 13, 2007

Last NPPES UpdateOctober 2, 2008

✔ NPI 1790827038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

332 HIGHWAY 12 W, Kosciusko, MS 39090

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Other Names 1

Doing Business AsKosciusko Medical Clinic

Other Identifiers 4

OtherCG1185MS · Railroad Medicare

Medicare NSC3904490001MS

Medicaid09015162MS

Medicare PIN1790827038MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

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.

DR. TIMOTHY J ALFORD MD

Family Medicine