DR. KENNETH AUSTIN WINTER MD
NPI 1891445201
Student in an Organized Health Care Education/Training Program in Jackson, MS

Q: What is Kenneth Winter's NPI number?

The NPI number for Kenneth Winter is 1891445201. It was assigned to this individual provider in the NPPES registry on March 28, 2022.

Q: What is Kenneth Winter's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Winter was last updated on March 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 28, 2022PECOS Enrolled

2500 N STATE ST, JACKSON, MS 39216(601) 984-5700 Get Directions Write a Review

NPPES record last updated: March 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Kenneth Austin Winter Md NPPES

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

DR. KENNETH AUSTIN WINTER MD (NPI 1891445201) is an individual student in an organized health care education/training program in Jackson, Mississippi and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891445201

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. KENNETH AUSTIN WINTERCredential: MD

Location Address2500 N STATE STJackson, MS 39216-4500

Mailing Address4305 Regency CtJackson, MS 39211-6158 · (901) 825-0100

Phone(601) 984-5700

Sole ProprietorNo

Enumeration DateMarch 28, 2022

NPPES CertifiedMarch 28, 2022

✔ NPI 1891445201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2500 N STATE ST, Jackson, MS 39216

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kenneth Austin Winter Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

LAMAR DAVIS II M.D.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)