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KDMC PHYSICIAN CLINICS LLC
NPI 1861739161
Clinic/Center - Multi-Specialty in Brookhaven, MS

Active since January 08, 2013
950 BROOKWAY BLVD, BROOKHAVEN, MS 39601(601) 823-5103(601) 823-3514 Get Directions Write a Review

NPPES record last updated: March 27, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kdmc Physician Clinics Llc NPPES

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

KDMC PHYSICIAN CLINICS LLC (NPI 1861739161) is a healthcare organization registered as a multi-specialty in Brookhaven, Mississippi and active in the NPI registry since January 2013. The organization lists Scott Christensen, Ceo, as its authorized official.

NPPES Registry Identity

NPI1861739161
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameKDMC PHYSICIAN CLINICS LLC
Location Address950 BROOKWAY BLVDBrookhaven, MS 39601-2644
Mailing Address427 Highway 51 NBrookhaven, MS 39601-2350 · (601) 833-6011 · Fax (601) 823-2206
Phone(601) 823-5103
Fax(601) 823-3514
Organization SubpartYesParent: Kings Daughters Medical Center
Authorized OfficialScott ChristensenCeo · (601) 835-9488
Enumeration DateJanuary 8, 2013
Last NPPES UpdateMarch 27, 2023
NPPES CertifiedMarch 27, 2023
✔ NPI 1861739161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
950 BROOKWAY BLVD, Brookhaven, MS 39601
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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 and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kdmc Physician Clinics Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

49

Medicare enrollment records show 49 clinicians reassign Medicare billing to Kdmc Physician Clinics LLC, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 32 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 13

Nurse Practitioner25
Pediatric Medicine5
Orthopedic Surgery4
Internal Medicine3
Obstetrics/Gynecology3
Family Practice2
Anesthesiology1
Dermatology1
5 other specialties5

Nearest to this location (20)

See all 49
Blaine Britt, M.D.
Internal Medicine
NPI 1255593265
950 BROOKWAY BLVD
Brookhaven, MS 39601
(601) 833-7973
✔ PECOS✔ Accepts MedicareSame address
Meghan Case, MD
Family Practice
NPI 1558980177
950 BROOKWAY BLVD
Brookhaven, MS 39601
(601) 833-7973
✔ PECOS✔ Accepts MedicareSame address
Karla Gerald, FNP
Nurse Practitioner
NPI 1518299213
940 BROOKWAY BLVD
Brookhaven, MS 39601
(601) 823-5000
✔ PECOS✔ Accepts MedicareSame address
Dena Jackson, M.D.
Internal Medicine
NPI 1477663318
940 BROOKWAY BLVD
Brookhaven, MS 39601
(601) 823-5000
✔ PECOS✔ Accepts MedicareSame address
Ramiro Montalvo, M.D.
Internal Medicine
NPI 1225147135
940 BROOKWAY BLVD
Brookhaven, MS 39601
(601) 823-5000
✔ PECOS✔ Accepts MedicareSame address
Ashton Newman, FNP-C
Nurse Practitioner
NPI 1578341459
940 BROOKWAY BLVD
Brookhaven, MS 39601
(601) 823-5000
✔ PECOS✔ Accepts MedicareSame address
Catherine Knott, FNP
Nurse Practitioner
NPI 1386658763
950 BROOKMAN BLVD
Brookhaven, MS 39601
(601) 833-7973
✔ PECOS✔ Accepts Medicare0.7 mi
Tucker Brady, FNP
Nurse Practitioner
NPI 1679107692
601 BROOKMAN DR EXT
Brookhaven, MS 39601
(601) 823-5275
✔ PECOS✔ Accepts Medicare0.7 mi
Jonathan Smith, FNP
Nurse Practitioner
NPI 1205505666
601 BROOKMAN DR EXT
Brookhaven, MS 39601
(601) 823-5275
✔ PECOS✔ Accepts Medicare0.7 mi
David Braden, M.D.
Pediatric Medicine
NPI 1689697336
624 HIGHWAY 51 N
Brookhaven, MS 39601
(601) 835-2100
✔ PECOS✔ Accepts Medicare0.8 mi
William Carter, FNP-C
Nurse Practitioner
NPI 1700736451
427 HIGHWAY 51 N
Brookhaven, MS 39601
(601) 833-6011
✔ PECOS✔ Accepts Medicare0.8 mi
Caycee Garrett, NP
Nurse Practitioner
NPI 1871313056
509 BROOKMAN DR
Brookhaven, MS 39601
(601) 823-5204
✔ PECOS0.8 mi
Charles Holland, M.D.
Pediatric Medicine
NPI 1285657916
509 BROOKMAN DR
Brookhaven, MS 39601
(601) 823-5204
✔ PECOS0.8 mi
Joshua Iles, M.D.
Pediatric Medicine
NPI 1114155884
509 BROOKMAN DR
Brookhaven, MS 39601
(601) 823-5204
✔ PECOS0.8 mi
Timothy Shann, MD
Pediatric Medicine
NPI 1477518793
509 BROOKMAN DR
Brookhaven, MS 39601
(601) 823-5204
✔ PECOS0.8 mi
Candice Cliburn, NURSE PRACTITIONER
Nurse Practitioner
NPI 1902257165
511 BROOKMAN DR
Brookhaven, MS 39601
(601) 757-7227
✔ PECOS✔ Accepts Medicare0.8 mi
Benjamin Rushing, MD
Dermatology
NPI 1073254256
429 HIGHWAY 51 N
Brookhaven, MS 39601
(601) 833-6011
✔ PECOS0.8 mi
Leighcher Gray, M.D.
Obstetrics/Gynecology
NPI 1043326929
1012 D A BIGLANE DRIVE
Brookhaven, MS 39601
(601) 833-8157
✔ PECOS0.9 mi
William Rushing, M.D.
Obstetrics/Gynecology
NPI 1790891679
1012 D A BIGLANE DR
Brookhaven, MS 39601
(601) 833-8157
✔ PECOS✔ Accepts Medicare0.9 mi
Joey Sessums, M.D.
Obstetrics/Gynecology
NPI 1316054976
1012 D A BIGLANE DR
Brookhaven, MS 39601
(601) 833-8157
✔ PECOS✔ Accepts Medicare0.9 mi
See all 49 clinicians

Source: 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 Kdmc Physician Clinics LLC's NPI number?

The NPI number for Kdmc Physician Clinics LLC is 1861739161. It was assigned to this organization in the NPPES registry on January 8, 2013.

Where is Kdmc Physician Clinics LLC located?

Kdmc Physician Clinics LLC is located at 950 Brookway Blvd, Brookhaven, MS 39601. The listed phone number is (601) 823-5103.

What is Kdmc Physician Clinics LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Kdmc Physician Clinics LLC enrolled in Medicare?

Yes. Kdmc Physician Clinics LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kdmc Physician Clinics LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 49 clinicians in 13 Medicare specialties reassign their Medicare billing to Kdmc Physician Clinics 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 (25), Pediatric Medicine (5) and Orthopedic Surgery (4). Of these, 6 practice at this address and 32 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Kdmc Physician Clinics 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 3 other insurers list Kdmc Physician Clinics 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 Kdmc Physician Clinics LLC was last updated on March 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.