Individual provider Active NPI

Kaitlin Medlin, OD

  • Optometrist
  • Carthage, MS
National Provider Identifier
1548145121
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1120 Issued in MS
Practice address
201 Highway 16 E
Carthage, MS 39051-4203
Phone
(601) 267-9351
NPI assigned
Aug 11, 2025
Last updated
Aug 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1120 MS Primary

Addresses

Primary practice location

201 Highway 16 E
Carthage, MS 39051-4203

Mailing address

201 Highway 16 E
Carthage, MS 39051-4203

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251027000793 MS Practitioner - Optometry 2769971290 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carthage Eye Clinic PAGroup PAC ID 7719065713, 3 clinicians
Southern Eye Care of ForestGroup PAC ID 6002037587, 2 clinicians

Practice addresses (Care Compare)

201 Hwy 16 E
Carthage, MS 39051-4203
Phone (601) 267-9351

521 Deerfield Dr
Forest, MS 39074-6006
Phone (601) 469-3441

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1120MSMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Eye Care of Forest Optometrist CurrentSince Jun 2, 2026 Accepting new patients
Southern Eye Care of Flowood, PA Optometrist CurrentSince Jul 31, 2025 Accepting new patients
Carthage Eye Clinic PA Optometrist CurrentSince Jul 31, 2025 Accepting new patients

Locations

201 Highway 16 E
Carthage, MS 39051
Phone (601) 267-9351

521 Deerfield Dr
Forest, MS 39074
Phone (601) 267-9351

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1754870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1548145121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 HIGHWAY 16 E",
            "city": "CARTHAGE",
            "state": "MS",
            "postal_code": "390514203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 HIGHWAY 16 E",
            "city": "CARTHAGE",
            "state": "MS",
            "postal_code": "390514203",
            "telephone_number": "601-267-9351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDLIN",
        "first_name": "KAITLIN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-11",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "1120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carthage, MS

Sources for this page

Verify at the official NPI Registry.