NPIMap

Individual provider Active NPI

Everett C McKibben, MD

  • General Practice Physician
  • Starkville, MS
National Provider Identifier
1093873713
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
12519 Issued in MS
Practice address
The Laird Clinic
103 Doctors Park
Starkville, MS 39759
Phone
(662) 323-2515
Fax
(662) 323-2557
NPI assigned
Dec 5, 2006
Last updated
Jan 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 12519 MS Primary

Addresses

Primary practice location

The Laird Clinic
103 Doctors Park
Starkville, MS 39759

Mailing address

The Laird Clinic
103 Doctors Park
Starkville, MS 39759
Phone (662) 323-2515

Other identifiers 1

IdentifierTypeStateIssuer
00110394MedicaidMS

Other names 1

  • Everett C McKibben Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110120000507 MS Practitioner - Family Practice 4385617026 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Mississippi School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kermit D Laird MD PAGroup PAC ID 5294829677, 4 clinicians

Practice addresses (Care Compare)

103 Doctors Park
Starkville, MS 39759-2174
Phone (662) 323-2515

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
36.91 of 100Reported as individual
Quality
25
Improvement activities
0
Cost
89.7

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
12519MSMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kermit D Laird MD PA CurrentSince Jul 1, 1990 Accepting new patients
Starkville Manor Healthcare LLC Past Accepting new patients
1001 Hospital Road Opco LLC Past Accepting new patients
Heart to Heart Hospice Inc PastSince Aug 19, 2004 Accepting new patients

Locations

103 Doctors Park
Starkville, MS 39759
Phone (601) 323-2515

Interoperability endpoints

  • Direct secure messaging: everett.mckibben.1@32574.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Starkville Manor Health Care and RehabilitationStarkville, MS, CCN 255172 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 May 1, 2025
May 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1093873713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "THE LAIRD CLINIC",
            "address_2": "103 DOCTORS PARK",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "39759",
            "telephone_number": "662-323-2515",
            "fax_number": "662-323-2557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "THE LAIRD CLINIC",
            "address_2": "103 DOCTORS PARK",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "39759",
            "telephone_number": "662-323-2515",
            "fax_number": "662-323-2557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKIBBEN",
        "first_name": "EVERETT",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MS",
            "license": "12519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00110394",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EVERETT",
            "last_name": "MCKIBBEN",
            "middle_name": "C",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Starkville, MS

Sources for this page

Verify at the official NPI Registry.