Charles A Kergosien, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

15445 Issued in MS

Practice address

527 Silver Cross Dr
Brookhaven, MS 39601-2388

Phone

(601) 835-0507

Fax

(601) 835-2766

NPI assigned

Aug 30, 2006

Last updated

Jan 18, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

University of Mississippi School of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sta Home Health Agency of Jackson, Inc. Dba Accentcare Home Health of Jackson Home health agency, Clinton, MS, CCN 257102
• Deaconess Homecare-Region I I Home health agency, Brookhaven, MS, CCN 257135
• Arden Home Health of West Ms, LLC Home health agency, Ridgeland, MS, CCN 257115
• St Luke Home Health Services Home health agency, McComb, MS, CCN 257124
• King's Daughters Medical Center-Brookhaven Hospital, Brookhaven, MS, CCN 250057
• Southwest Ms Regional Medical Center Hospital, McComb, MS, CCN 250097

Merit-based Incentive Payment System (MIPS)

Final score

95.46 of 100Reported as individual

Quality

100

Improvement activities

40

Cost

84.86

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: charles.kergosien@bim.directbygreenway.com

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

• King's Daughters Medical Center

  • General Acute Care Hospital
  • Brookhaven, MS
  • NPI 1972503464
  Care Compare affiliation
• Mid-Delta Home Health, Inc.

  • Home Health Agency
  • Belzoni, MS
  • NPI 1649295684
  Care Compare affiliation
• South Mississippi Home Health Inc - Region II

  dba Deaconess HomeCare

  • Home Health Agency
  • Brookhaven, MS
  • NPI 1376533778
  Care Compare affiliation
• Southwest Mississippi Regional Medical Center

  • General Acute Care Hospital
  • McComb, MS
  • NPI 1407805971
  Care Compare affiliation
• St. Luke Home Health Services, LLC

  • Home Health Agency
  • McComb, MS
  • NPI 1255401642
  Care Compare affiliation
• Sta-Home Health Agency of Jackson, Inc.

  dba AccentCare Home Health of Jackson

  • Home Health Agency
  • Clinton, MS
  • NPI 1356482749
  Care Compare affiliation

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358467200000",
    "number": "1619087541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4177",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396036177",
            "telephone_number": "601-835-0507",
            "fax_number": "601-835-2766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 SILVER CROSS DR",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396012388",
            "telephone_number": "601-835-0507",
            "fax_number": "601-835-2766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERGOSIEN",
        "first_name": "CHARLES",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2013-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "15445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00118411",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Ross, NP, PLLC Dba Brookhaven Neurobehavioral Clinic
• Janice Karas
• KCRX Brookhaven LLC
• KDMC Physician Clinics LLC
• Margaret Jane Kent, RPH
• Greta Louise Keys, FNP-BC
• Kembe Keys
• Holly L Kimbrell, CFNP
• Sarah Kathryn Kimes
• Kindness Healthcare Services LLC

• Internal Medicine Physician in Brookhaven, MS
• Providers in Brookhaven, MS by specialty
• Internal Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.