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

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: October 25, 2026.

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

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
Open in Google Maps ↗

Secondary Practice Locations 3

Location 12124 14TH STMeridian, MS 39301-4040 · Phone (601) 553-6114 · Fax (601) 553-6994
Location 2877 Jefferson AveMemphis, TN 38103-2807 · Phone (901) 545-7100
Location 31102 Constitution AVEMeridian, MS 39301-4001 · Phone (601) 703-5000 · Fax (601) 703-0124

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 Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

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 IDI20220602003104
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 Reassignments

6

Medicare enrollment records show Kushna Damallie reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northwest Miss Regional Medical Center
0.2 mi
Internal Medicine
1970 HOSPITAL DR
Clarksdale, MS 38614
  • Reassigned Medicare billing, Mississippi enrollment
  • 29 clinicians in this Medicare group
NPI 1598458515 (662) 627-3211
Strategic Solutions-Panola Medical Center LLC
37 mi
Rural Health
303 MEDICAL CENTER DR
Batesville, MS 38606
  • Reassigned Medicare billing, Mississippi enrollment
  • Medicare enrollment name: Progressive Medical Management Of Batesville LLC
  • 97 clinicians in this Medicare group
NPI 1366905028 (662) 563-7873
Ut Regional One Physicians Inc
71 mi
Surgery
877 JEFFERSON AVE
Memphis, TN 38103
  • Reassigned Medicare billing, Tennessee enrollment
  • 421 clinicians in this Medicare group
NPI 1093130585 (901) 545-8336
Haven Pregnancy Wellness & Women's Health, LLC
125 mi
Obstetrics & Gynecology
302 HIGHLAND PARK CV STE B
Ridgeland, MS 39157
  • Reassigned Medicare billing, Mississippi enrollment
  • Medicare enrollment name: Haven Pregnancy Wellness & Womens Health LLC
  • 13 clinicians in this Medicare group
NPI 1336824978 (601) 707-3970
Obhg Mississippi, P.C.
132 mi
Obstetrics & Gynecology
1225 N STATE ST STE B1
Jackson, MS 39202
  • Reassigned Medicare billing, Mississippi enrollment
  • Medicare enrollment name: Obhg Mississippi PC
  • 145 clinicians in this Medicare group
NPI 1083995674 (800) 967-2289
Wt Medical Associates
144 mi
Internal Medicine
1629 WOODLAWN AVE
Dyersburg, TN 38024
  • Reassigned Medicare billing, Tennessee enrollment
  • 109 clinicians in this Medicare group
NPI 1295223279 (731) 512-1277

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

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

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)
2000 N STATE ST
CLARKSDALE, MS 38614
Coahoma County (662) 627-7361
TERESA VICTORIA WHITE POWELL MSN, FNP-C
Nurse Practitioner
2000 N STATE ST
CLARKSDALE, MS 38614
Coahoma County (662) 627-7361
LEAH LAMB RYBOLT
Nurse Practitioner
2000 N STATE ST
CLARKSDALE, MS 38614
Coahoma County (662) 627-7361
ALISON DOYLE CNM
Nurse Practitioner (Obstetrics & Gynecology)
2000 N STATE ST
CLARKSDALE, MS 38614
Coahoma County (662) 627-7361
WOMAN'S CLINIC, A PROFESSIONAL ASSOCIATION
Clinic/Center (Rural Health)
2000 N STATE ST
CLARKSDALE, MS 38614
Coahoma County (662) 627-7361
FRANK T. MARASCALCO, M.D., P.A.
Specialist
2000 N STATE ST
CLARKSDALE, MS 38614
Coahoma County (662) 627-7361
LAUREN ELISE AGOSTINELLI WHNP-BC
Nurse Practitioner (Women's Health)
2000 N STATE ST
CLARKSDALE, MS 38614
Coahoma County (662) 627-7361
DR. DELPHIA M HORD MD
Obstetrics & Gynecology
2000 N STATE ST
CLARKSDALE, MS 38614
Coahoma County (662) 627-7361

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 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.

Where is Kushna Damallie located?

Kushna Damallie practices at 2000 N State St, Clarksdale, MS 38614. The listed phone number is (662) 627-7361.

What is Kushna Damallie's specialty?

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

Is Kushna Damallie enrolled in Medicare?

Yes. Kushna Damallie is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kushna Damallie's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kushna Damallie reassigns Medicare benefits to 6 organizations: Northwest Miss Regional Medical Center (Clarksdale, MS), Strategic Solutions-Panola Medical Center LLC (Batesville, MS), Ut Regional One Physicians Inc (Memphis, TN), Haven Pregnancy Wellness & Women's Health, LLC (Ridgeland, MS), Obhg Mississippi, P.C. (Jackson, MS) and 1 more organization, listed in the Medicare section above. Each 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 Kushna Damallie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kushna Damallie accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 6 other insurers list Kushna Damallie 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.

Is Kushna Damallie affiliated with any hospitals?

According to CMS data, Kushna Damallie is affiliated with Northwest Missississippi Regional Medical Center.

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 8 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.