Kemper Cah, Inc.
Organization Active NPI Emergency Medicine Physician · De Kalb, MS
NPI 1346546306 · NPPES record last updated Apr 17, 2025
Key facts
- NPI
- 1346546306
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- KEMPER CAH, INC.
- Practice address
- 14365 Highway 16 W
De Kalb, MS 39328-7974 - Phone
- (769) 486-1000
- Fax
- (769) 486-1090
- NPI assigned
- Feb 8, 2011
- Organization subpart
- No
Authorized official
- Name
- Don Larkin Kennedy
- Title
- Regional Ceo
- Phone
- (601) 703-9614
Other NPIs on the same Medicare enrollment 4
Other NPIs with the same Medicare PAC ID 6
Member of 1
Member organizations 1
Practitioners 99
-
Doris Nicole Bradley, FNP-BC
-
Brandon J Craft, NP
-
Tiffany Dearman, FNP
-
Brelan Mikal Gardner, FNP
-
Jessica Hardy, FNP
-
Deborah A Hester, MD
-
Patsy Lenan Holloway, FNP BC
-
Jennifer P Lafferty, FNP
-
Kari Moore, FNP
-
Rhonda Moore, AGPCNP-BC
-
Vanessa Norman, AGPCNP
-
John Payne, MD
-
Jessica Reynolds, FNP-C
-
Lasaundra Roberts, APMHNP-BC
-
Kimberly Ann Topping, NURSE PRACTITIONER
-
Emiley Mills, AG-ACNP
-
Elizabeth A. Stokes, FNP
-
Erica A Diggs, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110622000294 | MS | Part B Supplier - Clinic/Group Practice | 5991985012 |
Receives reassigned benefits from 92 practitioners 4 other NPIs on this enrollment Practice locations: De Kalb, MS; Marion, MS; Meridian, MS |
National Provider Directory
Locations
1314 19th Ave
Meridian, MS 39301
Phone (601) 483-0011
605 S Archusa Ave
Quitman, MS 39355
Phone (601) 776-6925
81 Willoughby St
Fl 8
Brooklyn, NY 11201
Phone (718) 935-9201
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes | ||
| Certified Registered Nurse Anesthetist |
367500000X |
Addresses
Primary practice location
14365 Highway 16 W
De Kalb, MS 39328-7974
Mailing address
Dept. 3019, P O Box 1000
Memphis, TN 38148-3019
Phone (601) 213-3010
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00965306 | Medicaid | MS |
Other names
- Ochsner Stennis Hospital Professional Services
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
Other providers in De Kalb, MS
- Happy at Home Personal Care Services
- Robert D Hearn Sr.
- Totsseta Hearn
- Heavenly Hand Services, LLC
- Shekelia Holliday
- Kemper Cah, Inc.
- Kemper Cah, Inc.
- Kemper Cah, Inc.
- Annetta Merideth
- Mississippi Em-I Medical Services PC
All providers in De Kalb, MS · Emergency Medicine Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2025. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.