Katrina Poe, MD
Individual provider Active NPI Family Medicine Physician · Misissippi State University, MS
NPI 1245290386 · NPPES record last updated Aug 6, 2026
Key facts
- NPI
- 1245290386
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 16482 (MS)
- Practice address
- 360 Hardy Road
Misissippi State University, MS 39762 - Phone
- (662) 325-2431
- Fax
- (662) 325-8888
- NPI assigned
- Mar 24, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Mississippi School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mississippi State University
Practice addresses (Care Compare)
360 Hardy Rd
Longest Student Health Center
Mississippi State, MS 39762-6338
Phone (662) 325-2431
Hospital & facility affiliations
- Baptist Memorial Hospital-Oktibbeha County
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061004000508 | MS | Practitioner - Family Practice | 2163428780 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mississippi State University | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 16482 | MS | Yes |
Addresses
Primary practice location
360 Hardy Road
Misissippi State University, MS 39762
Mailing address
PO Box 6338
Mississippi State, MS 39762-6338
Phone (662) 325-2431
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00124231 | Medicaid | MS |
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.