Individual provider Active NPI

Emmanuel Kpabitey, M.D.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Clarksdale, MS
National Provider Identifier
1265486450
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
16167 Issued in MS
Practice address
110 Yazoo Ave Ste 121
Clarksdale, MS 38614-4397
Phone
(666) 592-5052
Fax
(662) 592-5494
NPI assigned
May 20, 2006
Last updated
May 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 16167 MS Primary

Addresses

Primary practice location

110 Yazoo Ave Ste 121
Clarksdale, MS 38614-4397

Mailing address

110 Yazoo Ave Ste 121
Clarksdale, MS 38614-4397

Other practice location 1

1555 McAlister Dr
Memphis, TN 38116-9058
Phone (901) 344-5900

Other practice location 2

401 Getwell Dr
Senatobia, MS 38668-2213
Phone (662) 562-3100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16167MSMDEmergency Medical Services (Emergency Medicine) Physician
16167TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Minor Medical Centers Inc CurrentSince Jan 1, 2006 Accepting new patients
Bolivar General Hospital, Inc. Past Accepting new patients
Tishomingo Health Services, Inc. Past Accepting new patients
United Emergency Services, Inc. Past Accepting new patients
Bolivar General Hospital, Inc. Past Accepting new patients

Locations

8990 Germantown Rd
Olive Branch, MS 38654
Phone (662) 893-1160

3295 Poplar Ave
Ste 105
Memphis, TN 38111
Phone (901) 327-8188

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1265486450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 YAZOO AVE STE 121",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386144397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 YAZOO AVE STE 121",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386144397",
            "telephone_number": "666-592-5052",
            "fax_number": "662-592-5494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1555 McAlister Dr",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381169058",
            "country_code": "US",
            "telephone_number": "901-344-5900",
            "fax_number": "901-888-2088",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 Getwell Dr",
            "address_purpose": "LOCATION",
            "city": "Senatobia",
            "state": "MS",
            "postal_code": "386682213",
            "country_code": "US",
            "telephone_number": "662-562-3100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KPABITEY",
        "first_name": "EMMANUEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "MS",
            "license": "16167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksdale, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.