Individual provider Active NPI

Andrew Linn Kerby, M.D.

  • Neurology Physician
  • Corinth, MS
National Provider Identifier
1104844505
Registry record updated Dec 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
13626 Issued in MS
Practice address
123 Alcorn Drive
Corinth, MS 38834
Phone
(662) 594-1799
Fax
(662) 594-8621
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 13626 MS Primary

Addresses

Primary practice location

123 Alcorn Drive
Corinth, MS 38834

Mailing address

123 Alcorn Drive
Corinth, MS 38834
Phone (662) 594-1799

Other identifiers 1

IdentifierTypeStateIssuer
00112473MedicaidMS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041210000482 MS Practitioner - Neurology 7618946591 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Tennessee, HSC, College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Twin States Infusion Clinics LLCGroup PAC ID 0143622605, 2 clinicians
Magnolia Regional Health CenterGroup PAC ID 9739078460, 15 clinicians

Practice addresses (Care Compare)

123 A Alcorn Dr
Corinth, MS 38834-9359
Phone (662) 260-3366

123 Alcorn Dr
Corinth, MS 38834-9359
Phone (662) 594-1799

2908 S Lamar Blvd
Oxford, MS 38655-5354

611 Alcorn Dr
Corinth, MS 38834-9321
Phone (662) 293-1000

Hospital & facility affiliations

  • Magnolia Regional Health Center Hospital, Corinth, MS, CCN 250009
  • North Mississippi Medical Center Hospital, Tupelo, MS, CCN 250004
  • Baptist Memorial Hospital Desoto Hospital, Southaven, MS, CCN 250141

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13626MSMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Magnolia Regional Health Center CurrentSince Sep 20, 1995 Accepting new patients
Twin States Infusion Clinics, LLC CurrentSince Dec 20, 2022 Accepting new patients
Magnolia Regional Health Center Current Accepting new patients
Magnolia Regional Health Center CurrentSince Sep 20, 1995 Accepting new patients
Magnolia Regional Health Center Current Accepting new patients
Magnolia Regional Health Center Current Accepting new patients
Shiloh Neurology PC Neurology CurrentSince Mar 1, 2018 Accepting new patients
Twin States Infusion Clinics, LLC CurrentSince Dec 20, 2022 Accepting new patients

Locations

611 Alcorn Dr
Corinth, MS 38834
Phone (601) 286-6961

201 Alcorn Dr
Corinth, MS 38834
Phone (662) 286-3277

123 Alcorn Dr
Corinth, MS 38834
Phone (256) 767-7494

1170 NE Industrial Park Rd
Meridian, MS 39301
Phone (601) 482-7420

2908 S Lamar Blvd
Oxford, MS 38655
Phone (662) 260-3366

146 S Thomas St
Ste B
Tupelo, MS 38801
Phone (662) 260-3366

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: andrewkerby@snp-ms.direct.office.nextgen.com

Organizations & group practices 8

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

Hospital & facility affiliations 3

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546214400000",
    "number": "1104844505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 ALCORN DRIVE",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "38834",
            "telephone_number": "662-594-1799",
            "fax_number": "662-594-8621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 ALCORN DRIVE",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "38834",
            "telephone_number": "662-594-1799",
            "fax_number": "662-594-8621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERBY",
        "first_name": "ANDREW",
        "middle_name": "LINN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2018-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MS",
            "license": "13626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00112473",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corinth, MS

Sources for this page

Verify at the official NPI Registry.