Active NPI
Jenni Kate Miles, MD
- Family Medicine Physician
- Kosciusko, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 32828
- Practice address
- 332 Highway 12 W
Kosciusko, MS 39090-3209 - Phone
- (662) 289-1800
- Fax
- (666) 289-2486
- NPI assigned
- Jun 24, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 32828 | MS | Primary |
Addresses
Primary practice location
332 Highway 12 W
Kosciusko, MS 39090-3209
Mailing address
PO Box 23996
Jackson, MS 39225-3996
Phone (601) 206-6100
Other practice location 1
300B South Pearl Street
Carthage, MS 39051-4108
Phone (601) 298-0333
Other practice location 2
530 Veterans Memorial Dr
Kosciusko, MS 39090-3858
Phone (662) 289-9155
Other practice location 3
59 Montague St
Goodman, MS 39079-9011
Phone (662) 739-6040
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Mississippi School of Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
332 Hwy 12 W
Kosciusko, MS 39090-3209
Phone (662) 289-1800
Hospital & facility affiliations
- Mississippi Homecare of Eupora
- Baptist Medical Center Attala
- North Mississippi Medical Center
- Mississippi Baptist Medical Center
- Attala County Nursing Center
- Baptist Medical Center Attala
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Medical Group of Mississippi LLC | Current | Accepting new patients | |
| Premier Medical Group of Mississippi LLC | Past | Accepting new patients | |
| Attala Community Care Center LLC | Past | Accepting new patients |
Locations
300 S Pearl St
#B
Carthage, MS 39051
Phone (601) 298-0333
59 Montague St
Goodman, MS 39079
Phone (662) 739-6040
332 Highway 12 W
Kosciusko, MS 39090
Phone (601) 206-6100
530 Veterans Memorial Dr
Kosciusko, MS 39090
Phone (662) 289-9155
Interoperability endpoints
- jenni.miles.1@27768.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Clinic/Center
- Kosciusko, MS
- NPI 1790827038
-
- Skilled Nursing Facility
- Kosciusko, MS
- NPI 1215985429
-
- Clinic/Center
- Jackson, MS
- NPI 1548219884
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Eupora, MS
- NPI 1659483196
-
- Critical Access Hospital
- Kosciusko, MS
- NPI 1730566027
-
- Medicare Defined Swing Bed Hospital Unit
- Kosciusko, MS
- NPI 1750769865
Nursing home
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1710909585
-
- General Acute Care Hospital
- Tupelo, MS
- NPI 1598875460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752537600000",
"number": "1790417251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23996",
"city": "JACKSON",
"state": "MS",
"postal_code": "392253996",
"telephone_number": "601-206-6100",
"fax_number": "601-206-6052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "332 HIGHWAY 12 W",
"city": "KOSCIUSKO",
"state": "MS",
"postal_code": "390903209",
"telephone_number": "662-289-1800",
"fax_number": "666-289-2486"
}
],
"practiceLocations": [
{
"address_1": "300B South Pearl Street",
"address_purpose": "LOCATION",
"city": "Carthage",
"state": "MS",
"postal_code": "390514108",
"country_code": "US",
"telephone_number": "601-298-0333",
"fax_number": "601-298-0797",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "530 Veterans Memorial Dr",
"address_purpose": "LOCATION",
"city": "Kosciusko",
"state": "MS",
"postal_code": "390903858",
"country_code": "US",
"telephone_number": "662-289-9155",
"fax_number": "662-289-7752",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "59 Montague St",
"address_purpose": "LOCATION",
"city": "Goodman",
"state": "MS",
"postal_code": "390799011",
"country_code": "US",
"telephone_number": "662-739-6040",
"fax_number": "662-739-6041",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILES",
"first_name": "JENNI",
"middle_name": "KATE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-24",
"last_updated": "2025-07-15",
"certification_date": "2025-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MS",
"license": "32828",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kosciusko, MS
- Chelsey McLendon
- Tina D McNeal, PT
- Melinda J Meacham, CFNP
- Anna Taylor Middleton, OD
- Philip Adam Middleton, DMD
- Mississippi CVS Pharmacy, L.L.C.
- Mississippi Ear Nose and Throat Surgical Associates
- Mississippi State Department of Health
- Valerie Michelle Mitchell, LMSW
- Montfort Jones Memorial Hospital
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; 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.