Active NPI
Emmanuel Kpabitey, M.D.
- Emergency Medical Services (Emergency Medicine) Physician
- Clarksdale, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- 16167
- 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, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 16167 | MS | MD | Emergency Medical Services (Emergency Medicine) Physician |
| 16167 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Minor Medical Centers Inc | Current | 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.
-
dba Baptist Minor Medical Center
- Internal Medicine Physician
- Memphis, TN
- NPI 1881640118
-
dba Belmont Family Medical Clinic
- Clinic/Center
- Belmont, MS
- NPI 1295105922
-
- Emergency Medicine Physician
- Booneville, MS
- NPI 1326007915
-
dba Bolivar ER
- General Acute Care Hospital
- Bolivar, TN
- NPI 1174545446
-
dba West Tennessee Healthcare Bolivar Hospital
- Critical Access Hospital
- Bolivar, TN
- NPI 1518957950
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.