Individual provider Active NPI

Dakota Weston Kilcrease, DO

  • Psychiatry Physician
  • Whitfield, MS
National Provider Identifier
1497645238
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
T-5705 Issued in MS
Practice address
PO Box 157a
Whitfield, MS 39193-0157
Phone
(601) 351-8000
NPI assigned
Jul 3, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X T-5705 MS Primary

Addresses

Primary practice location

PO Box 157a
Whitfield, MS 39193-0157

Mailing address

113 Cedar Pine LN
Dkilcrease7@Gmail.Com
Madison, MS 39110
Phone (903) 715-5591

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250921000076 MS Order and Referring Only - PsychiatryPractitioner - Psychiatry 7719481894

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T-5705MSMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1751500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1497645238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 CEDAR PINE LN",
            "address_2": "DKILCREASE7@GMAIL.COM",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "39110",
            "telephone_number": "903-715-5591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 157A",
            "city": "WHITFIELD",
            "state": "MS",
            "postal_code": "391930157",
            "telephone_number": "601-351-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILCREASE",
        "first_name": "DAKOTA",
        "middle_name": "WESTON",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-03",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MS",
            "license": "T-5705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitfield, MS

Sources for this page

Verify at the official NPI Registry.