Organization Active NPI

The Marion County Internal Medicine Clinic

  • Internal Medicine Physician
  • Columbia, MS
National Provider Identifier
1346369519
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
THE MARION COUNTY INTERNAL MEDICINE CLINIC
Practice address
104 Partnership Way
Columbia, MS 39429-4502
Phone
(601) 736-6443
Fax
(601) 736-2543
NPI assigned
Mar 28, 2007
Last updated
May 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Authorized official

Name
Dr. Kevin H Holmes, M.D.NPI 1942297858
Title
Physician
Phone
(601) 736-6443

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

104 Partnership Way
Columbia, MS 39429-4502

Mailing address

104 Partnership Way
Columbia, MS 39429-4502
Phone (601) 736-6443

Other identifiers 1

IdentifierTypeStateIssuer
09015343MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060411000319 MS Part B Supplier - Clinic/Group Practice 1153330618 Receives reassigned benefits from 4 practitioners
Practice locations: Columbia, MS

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D0976609Marion County Internal Med Clinic PA104 Partnership Way, Columbia, MS 39429Certificate of waiverAug 8, 2026

National Provider Directory

National Provider Directory

Locations

912 Sumrall Rd
Columbia, MS 39429
Phone (601) 731-1933

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778025600000",
    "number": "1346369519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 PARTNERSHIP WAY",
            "city": "COLUMBIA",
            "state": "MS",
            "postal_code": "394294502",
            "telephone_number": "601-736-6443",
            "fax_number": "601-736-2543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 PARTNERSHIP WAY",
            "city": "COLUMBIA",
            "state": "MS",
            "postal_code": "394294502",
            "telephone_number": "601-736-6443",
            "fax_number": "601-736-2543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MARION COUNTY INTERNAL MEDICINE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "601-736-6443",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09015343",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.