Keisha L Oliphant, FNP
Individual provider Active NPI Family Nurse Practitioner · Newton, MS
NPI 1679710933 · NPPES record last updated Aug 20, 2026
Key facts
- NPI
- 1679710933
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R861070 (MS)
- Practice address
- 9421 Eastside Drive Ext
Newton, MS 39330-0000 - Phone
- (601) 683-2031
- Fax
- (601) 683-0264
- NPI assigned
- Jan 8, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 18
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- East Central Mississippi Health Care Inc
Independent Healthcare Management Inc
Practice addresses (Care Compare)
1488 Hwy 487
Sebastopal Clinic
Sebastopol, MS 39359-0150
Phone (601) 625-7403
347 S 4TH St
Morton, MS 39117-3407
Phone (601) 732-1524
505 Airport Rd
Suite D
Forest, MS 39074-4033
Phone (601) 333-0947
9431 Eastside Dr Ext E
Newton Health Care
Newton, MS 39345-8072
Phone (601) 635-3435
Hospital & facility affiliations
- Ochsner Laird Hospital
- S E Lackey Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090216000324 | MS | Practitioner - Nurse Practitioner | 5698830222 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Central Mississippi Health Care, Inc. | Current |
Accepting new patients | |
| Intouch Psychological Services LLC | Psychiatric/Mental Health | Current |
Accepting new patients |
| Holistic Health With Kelly LLC | Current |
Accepting new patients | |
| East Central Mississippi Health Care, Inc | Current |
Accepting new patients | |
| Independent Healthcare Management, Inc. | Current |
Accepting new patients | |
| Newton Hospital, Inc. | Past | Accepting new patients | |
| Independent Healthcare Management, Inc. | Past | Accepting new patients | |
| Newton Hospital, Inc | Past | Accepting new patients | |
| East Central Mississippi Health Care Inc | Past | Accepting new patients |
Locations
1 Medical Ln
Forest, MS 39074
Phone (601) 469-4681
330 N Broad St
#S
Forest, MS 39074
Phone (601) 469-4151
505 Airport Rd
Ste D
Forest, MS 39074
Phone (601) 333-0947
505 Airport Rd
Ste B
Forest, MS 39074
Phone (601) 469-4771
504 Airport Rd
Ste C
Forest, MS 39074
Phone (601) 333-2373
1129 Highway 35 S
#1
Forest, MS 39074
Phone (601) 469-3320
376 Simpson Highway 149
Ste 300
Magee, MS 39111
Phone (601) 721-8985
110 Pioneer Way
Magee, MS 39111
2502 9th St
Meridian, MS 39301
Phone (601) 512-0927
347 S Fourth St
Morton, MS 39117
Phone (601) 732-1524
9431 Eastside Drive Ext
Ste E
Newton, MS 39345
Phone (601) 635-3435
9427 Eastside Drive Ext
#A
Newton, MS 39345
Phone (601) 681-0330
342 Magnolia Dr
#35S
Raleigh, MS 39153
Phone (601) 782-5665
342 Magnolia Dr
Raleigh, MS 39153
Phone (601) 782-5665
Interoperability endpoints
- https://api.platform.athenahealth.com/17349/brand/1/csg/1/fhir/r4
- keisha.oliphant.1@17349.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R861070 | MS | Yes |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 861070 | MS |
Addresses
Primary practice location
9421 Eastside Drive Ext
Newton, MS 39330-0000
Mailing address
P O Box 299
9421 Eastside Drive Ext
Newton, MS 39330-0000
Phone (601) 683-2031
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R861070 | Other | MS | MS BOARD OF NURSING |
Other providers in Newton, MS
- NHC Inc
- Vanessa Norman
- Abby Nicole Novak
- Samuel Oluwasye Olaleye
- Cherie Itohan Olaye
- Pioneer Health Services of Newton County
- Pioneer Health Services of Newton County
- Pioneer Health Services of Newton County, LLC
- Pioneer Health Services of Newton County, LLC
- Pioneer Health Services of Newton County, LLC
All providers in Newton, MS · Family Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.