Active NPI
Kesha Major Flantroy, M.D.
- Obstetrics & Gynecology Physician
- Jackson, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME96498
- Practice address
- 3502 W Northside Dr
Jackson, MS 39213-4454 - Phone
- (601) 362-5321
- Fax
- (601) 364-5159
- NPI assigned
- May 19, 2007
- Last updated
- Jun 21, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | ME96498 | FL | Primary |
| Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician | 207VH0002X | ME96498 | FL |
Addresses
Primary practice location
3502 W Northside Dr
Jackson, MS 39213-4454
Mailing address
3502 W Northside Drive
Jackson, MS 39213
Phone (601) 362-5321
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2001153230A | Medicaid | FL | |
| 01435098 | Medicaid | MS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Morehouse School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northwest Miss Regional Medical Center
Practice addresses (Care Compare)
129 White Oak St
Utica, MS 39175-8803
Phone (601) 885-6021
2000 N State St
Clarksdale, MS 38614-6100
Phone (662) 627-7361
3502 W Northside Dr
Jackson, MS 39213-4454
Phone (601) 362-5321
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME96498 | FL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Mississippi Civic Improvement Association, Inc | Current | Accepting new patients | |
| Central Mississippi Civic Improvement Association, Inc. | Current | Accepting new patients | |
| Vicksburg Healthcare LLC | Current | Accepting new patients | |
| Vicksburg Healthcare LLC | Current | Accepting new patients | |
| Jackson Hma LLC | Past | Accepting new patients | |
| Central Mississippi Civic Improvement Association, Inc. | Past | Accepting new patients | |
| Northwest Miss Regional Medical Center | Past | Accepting new patients | |
| McAlester Physician Management Services | Past | Accepting new patients | |
| Samuel Floyd Brown MD | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
1860 Chadwick Dr
Ste 254
Jackson, MS 39204
Phone (601) 376-2818
1860 Chadwick Dr
Ste 300
Jackson, MS 39204
Phone (601) 376-2857
3502 W Northside Dr
Jackson, MS 39213
Phone (601) 982-1625
129 White Oak St
Utica, MS 39175
Phone (601) 885-6021
2100 Highway 61 N
Vicksburg, MS 39183
Phone (601) 883-5001
Interoperability endpoints
- https://fhir.yourcareuniverse.net/tenant/0c0c63aa-c0e5-4256-b638-969087e4db15
- kesha.flantroy.1@29904.direct.athenahealth.com
- kesha.flantroy@jhchc.eclinicaldirectplus.com
Organizations & group practices 9
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.
-
dba Jackson Hinds Comprehensiv Health Center
- Federally Qualified Health Center (FQHC)
- Jackson, MS
- NPI 1134151442
-
dba River Region Health System
- Anesthesiology Physician
- Vicksburg, MS
- NPI 1629084058
-
dba Jackson Hinds Comprehensive Health Center Unit 7
- Federally Qualified Health Center (FQHC)
- Jackson, MS
- NPI 1215744396
-
dba Merit Health River Region
- General Acute Care Hospital
- Vicksburg, MS
- NPI 1215981303
-
dba Jackson-Hinds Comprehensive Health Center
- Federally Qualified Health Center (FQHC)
- Jackson, MS
- NPI 1154424554
-
dba Northwest Mississippi Regional Medical Center
- General Acute Care Hospital
- Clarksdale, MS
- NPI 1275217606
-
- Obstetrics & Gynecology Physician
- Jackson, MS
- NPI 1730376096
-
- Specialist
- McAlester, OK
- NPI 1346342151
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northwest Mississippi Regional Medical Center
- General Acute Care Hospital
- Clarksdale, MS
- NPI 1275217606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371772800000",
"number": "1164630349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3502 W NORTHSIDE DRIVE",
"city": "JACKSON",
"state": "MS",
"postal_code": "39213",
"telephone_number": "601-362-5321",
"fax_number": "601-362-5321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3502 W NORTHSIDE DR",
"city": "JACKSON",
"state": "MS",
"postal_code": "392134454",
"telephone_number": "601-362-5321",
"fax_number": "601-364-5159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLANTROY",
"first_name": "KESHA",
"middle_name": "MAJOR",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-19",
"last_updated": "2013-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME96498",
"primary": true
},
{
"code": "207VH0002X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Hospice and Palliative Medicine",
"state": "FL",
"license": "ME96498",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2001153230A",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01435098",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.