Individual provider Active NPI

Kofi Owusu Kumi, MD

  • Specialist
  • Natchez, MS
National Provider Identifier
1417969338
Registry record updated May 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
15330 Issued in MS
Practice address
55 SGT Prentiss Dr
100
Natchez, MS 39120-4782
Phone
(601) 304-0020
Fax
(601) 304-0023
NPI assigned
Aug 12, 2006
Last updated
May 8, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 15330 MS Primary

Addresses

Primary practice location

55 SGT Prentiss Dr
100
Natchez, MS 39120-4782

Mailing address

55 SGT Prentiss Dr
100
Natchez, MS 39120-4782
Phone (601) 304-0020

Other identifiers 2

IdentifierTypeStateIssuer
00118246MedicaidMS
640892171OtherMSFEDERAL TAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, LA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100429001106 MS Practitioner - Obstetrics/Gynecology 6507993144 Reassigns benefits to 2 organizations
Practice locations: Natchez, MS
I20250821003947 LA Practitioner - Obstetrics/Gynecology 6507993144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1643 NW 136 Ave
Sunrise, FL 33323-2857

4 Red Fox Dr
Natchez, MS 39120-8100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15330MSMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
DHP of Louisiana PC CurrentSince Aug 1, 2025 Accepting new patients
Obhg Mississippi, P.C. CurrentSince Jan 28, 2022 Accepting new patients
Medical Foundation, Inc. CurrentSince Nov 16, 2022 Accepting new patients
Medical Foundation, Inc. CurrentSince Nov 16, 2022 Accepting new patients
Natchez Hospital Company LLC Past Accepting new patients
Miss-Lou OB-GYN Ctr,, Inc PastSince Sep 9, 1999 Accepting new patients
Rush Medical Foundation Past Accepting new patients

Locations

211 4th St
Alexandria, LA 71301
Phone (318) 473-3000

501 Medical Center Dr
Alexandria, LA 71301
Phone (318) 443-6336

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

1314 19th Ave
Meridian, MS 39301
Phone (601) 483-0011

1800 12th St
Meridian, MS 39301
Phone (601) 483-0011

2401 16th St
Meridian, MS 39301
Phone (601) 482-4181

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367971200000",
    "number": "1417969338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 SGT PRENTISS DR",
            "address_2": "100",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391204782",
            "telephone_number": "601-304-0020",
            "fax_number": "601-304-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 SGT PRENTISS DR",
            "address_2": "100",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391204782",
            "telephone_number": "601-304-0020",
            "fax_number": "601-304-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMI",
        "first_name": "KOFI",
        "middle_name": "OWUSU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2013-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MS",
            "license": "15330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00118246",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID",
            "identifier": "640892171",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Natchez, MS

Sources for this page

Verify at the official NPI Registry.