NPIMap

Individual provider Active NPI

Joseph A. Kwentus, MD

  • Psychiatry Physician
  • Flowood, MS
National Provider Identifier
1477582096
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
17834 Issued in MS
Practice address
3531 Lakeland Drive
Suite 1060 Brentwood Plaza
Flowood, MS 39232
Phone
(601) 420-5810
Fax
(601) 420-5811
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X 17834 MS
Forensic Psychiatry Physician 2084F0202X 17834 MS
Neurology Physician 2084N0400X 17834 MS
Geriatric Psychiatry Physician 2084P0805X 17834 MS
Psychiatry Physician 2084P0800X 17834 MS Primary

Addresses

Primary practice location

3531 Lakeland Drive
Suite 1060 Brentwood Plaza
Flowood, MS 39232

Mailing address

P.O. Box 321015
Flowood, MS 39232
Phone (601) 420-5810

Other practice location 1

3450 Highway 80 W
Jackson, MS 39209-7201
Phone (601) 321-2400

Other identifiers 3

IdentifierTypeStateIssuer
00018209MedicaidMS
860000121OtherMSPALMETTO GBA-RAILROAD MED
00126737MedicaidMS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040414001441 MS Practitioner - Neuropsychiatry 3678567245 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neuropsychiatry
Education
Saint Louis University School of Medicine, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Precise Clinical Neuroscience SpecialistsGroup PAC ID 4880737626, 37 clinicians

Practice addresses (Care Compare)

3531 Lakeland Dr
Suite 1060
Flowood, MS 39232-8016
Phone (601) 420-5810

Hospital & facility affiliations

  • Merit Health Central Hospital, Jackson, MS, CCN 250072
  • Crossgates River Oaks Hospital Hospital, Brandon, MS, CCN 250096
  • Memorial Hospital at Gulfport Hospital, Gulfport, MS, CCN 250019
  • Memorial Hospital Biloxi Hospital, Biloxi, MS, CCN 250007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17834MSMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Foundation of Central Ms CurrentSince Apr 1, 2015 Accepting new patients
Medical Foundation of Central Mississippi, Inc. Neurology Current Accepting new patients
Warren Yazoo Mental Health Service CurrentSince Aug 8, 2011 Accepting new patients
Precise Clinical Neuroscience Specialists Neurology CurrentSince Apr 1, 2009 Accepting new patients
Medical Foundation of Central Mississippi, Inc CurrentSince Apr 1, 2015 Accepting new patients
Mississippi Baptist Medical Center, Inc CurrentSince Feb 28, 2016 Accepting new patients
Mississippi Baptist Medical Center, Inc. CurrentSince Feb 28, 2016 Accepting new patients
Mississippi Baptist Medical Center, Inc. Neurology Current Accepting new patients
Region VI Community Mental Health Commission CurrentSince Apr 19, 2006 Accepting new patients
Mississippi State Hospital Past Accepting new patients
Brandon Hma LLC Past Accepting new patients
Madison Behavioral Health, LLC Psychiatry Past Accepting new patients
Jackson Hma LLC Past Accepting new patients
Madison Behavioral Health, LLC Psychiatry Past Accepting new patients
University Radiation Oncology Consultants, PLLC Past Accepting new patients
Jackson Hma LLC Past Accepting new patients
Precise Psychopharmacology LLC Psychiatry Past Accepting new patients
Vicksburg Healthcare LLC Past Accepting new patients
University Neurology Group, PLLC Neurology Past Accepting new patients
Garden Park Past Accepting new patients
Brandon Hma LLC Past Accepting new patients

Locations

3531 Lakeland Dr
Ste 1060
Flowood, MS 39232
Phone (601) 420-5812

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

401 Baptist Dr
Ste 104
Madison, MS 39110
Phone (601) 605-2383

1111 N Frontage Rd
Ste 36
Vicksburg, MS 39180

3444 Wisconsin Ave
Vicksburg, MS 39180
Phone (601) 638-0031

Interoperability endpoints

  • Direct secure messaging: jkwentus@direct.mhg.com

Organizations & group practices 22

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 22

Hospital & facility affiliations 62

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

View all 62

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1477582096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 321015",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "39232",
            "telephone_number": "601-420-5810",
            "fax_number": "601-420-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3531 LAKELAND DRIVE",
            "address_2": "SUITE 1060 BRENTWOOD PLAZA",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "39232",
            "telephone_number": "601-420-5810",
            "fax_number": "601-420-5811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3450 Highway 80 W",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392097201",
            "country_code": "US",
            "telephone_number": "601-321-2400",
            "fax_number": "601-321-2476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KWENTUS",
        "first_name": "JOSEPH",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "MS",
            "license": "17834",
            "primary": false
        },
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "MS",
            "license": "17834",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MS",
            "license": "17834",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "MS",
            "license": "17834",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MS",
            "license": "17834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00018209",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA-RAILROAD MED",
            "identifier": "860000121",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00126737",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

Verify at the official NPI Registry.