Kermit D Laird MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

KERMIT D LAIRD MD PA

Practice address

103 Doctors Park
Starkville, MS 39759

Phone

(662) 323-2515

NPI assigned

Nov 21, 2006

Organization subpart

No

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

Authorized official

Name

Lynn Carr

Title

Office Manager

Phone

(662) 323-2515

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Hollister, MD

  • Family Medicine Physician
  • Starkville, MS
  • NPI 1689617185
  Medicare reassignment Care Compare group NPD
• Everett C McKibben, MD

  • General Practice Physician
  • Starkville, MS
  • NPI 1093873713
  Medicare reassignment Care Compare group NPD
• Angela Suzanne Owens, NP-C

  • Nurse Practitioner
  • Starkville, MS
  • NPI 1326307463
  Medicare reassignment Care Compare group NPD
• Angela Inez Payne, M.D.

  • Family Medicine Physician
  • Starkville, MS
  • NPI 1740630821
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189468800000",
    "number": "1598830101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 DOCTORS PARK",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "39759",
            "telephone_number": "662-323-2515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 DOCTORS PARK",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "39759",
            "telephone_number": "662-323-2515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERMIT D LAIRD MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-09-11",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "662-323-2515"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "C00006",
            "identifier": "C00006",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tamarah Jordan
• JTM Enterprises, PLLC
• Jayanthi Kaliyaperumal
• Karing Hands Transit LLC
• Tonia Carroll Kasper, LCSW, RPT
• Victor C. Kessler, M.D.
• Mary Elizabeth Ketchum, LPC
• Jessie Keyes, COTA/L
• Norma M Kimbrough, MA
• Rebecca Kimbrough, NCC, LPC, BC-TMH

• Family Medicine Physician in Starkville, MS
• Providers in Starkville, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.