DR. KUSHNA K DAMALLIE MD
NPI 1861488215
Obstetrics & Gynecology in Clarksdale, MS

Q: What is Kushna Damallie's NPI number?

The NPI number for Kushna Damallie is 1861488215. It was assigned to this individual provider in the NPPES registry on September 21, 2005.

Q: What is Kushna Damallie's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Kushna Damallie was last updated on February 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 September 21, 2005PECOS EnrolledAccepts Medicare Assignment

2000 N STATE ST, CLARKSDALE, MS 38614(662) 627-7361(662) 627-1158 Get Directions Write a Review

NPPES record last updated: February 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 11, 2023, May 26, 2022 (2 updates tracked since 2022).

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About Dr. Kushna K Damallie Md NPPES

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

DR. KUSHNA K DAMALLIE MD (NPI 1861488215) is an individual obstetrics & gynecology provider in Clarksdale, Mississippi, licensed in Tennessee (35758) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Northwest Missississippi Regional Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1861488215

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameDR. KUSHNA K DAMALLIECredential: MD

Location Address2000 N STATE STClarksdale, MS 38614-6100

Mailing Address2000 N State StClarksdale, MS 38614-6100 · (662) 627-7361 · Fax (662) 627-1158

Phone(662) 627-7361

Fax(662) 627-1158

Sole ProprietorNo

Medical School CMSBoston University School Of MedicineGraduated 1999

Enumeration DateSeptember 21, 2005

Last NPPES UpdateFebruary 9, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 9, 2026

✔ NPI 1861488215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in TN · 35758✔ Licensed in MS · 18061

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

2000 N STATE ST, Clarksdale, MS 38614

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Secondary Practice Locations 3

Location 1877 Jefferson AveMemphis, TN 38103-2807 · Phone (901) 545-7100

Location 21102 Constitution AVEMeridian, MS 39301-4001 · Phone (601) 703-5000 · Fax (601) 703-0124

Location 32124 14TH STMeridian, MS 39301-4040 · Phone (601) 553-6114 · Fax (601) 553-6994

Other Identifiers 3

Medicaid09035591MS

Other150159001MS · Ark Medicaid

Other82604MS · Ark Bcbs

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 ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kushna K Damallie Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103984588

PECOS Enrollment IDI20100827000244

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Screening mammography 77067

Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.

23 services23 patients

Blood glucose (sugar) test performed by hand-held instrument 82962

A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.

16 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northwest Missississippi Regional Medical Center

Acute Care Hospitals · Clarksdale, MS

OwnershipProprietary

CMS Certification Number250042

Location1970 Hospital DriveClarksdale, MS 38614 · Coahoma County

Emergency services Birthing friendly

Methodist Healthcare - Olive Branch Hospital

Acute Care Hospitals · Olive Branch, MS

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number250167

Location4250 Bethel RoadOlive Branch, MS 38654 · De Soto County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38614 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

$120.41 typical visit price

range $51.65 – $159.18

Typical copayment $30.10 (range $12.91 – $39.79)

Most-billed visit code 99204

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 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WOMANS CLINIC, A PROFESSIONAL ASSOCIATION

Clinic/Center (Rural Health)