NPIMap

Individual provider Active NPI

Kimberly Johnson Estes, M.D.

  • Family Medicine Physician
  • Meadville, MS
National Provider Identifier
1790911303
Registry record updated Apr 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
T2160 Issued in MS
Practice address
595 Main St E
Meadville, MS 39653-9233
Phone
(601) 384-3199
Fax
(601) 384-3950
NPI assigned
Jun 9, 2009
Last updated
Apr 2, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X T2160 MS Primary

Addresses

Primary practice location

595 Main St E
Meadville, MS 39653-9233

Mailing address

595 Main St E
P.O. Box 636
Meadville, MS 39653-9233
Phone (601) 384-3199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110826000268 MS Practitioner - Family Practice 9638349871 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Mississippi School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

136 Main St N
Family Medical Group of Bude
Bude, MS 39630-7117
Phone (601) 384-8143

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
T2160MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franklin County Memorial Hospital CurrentSince Dec 1, 2015 Accepting new patients
Franklin County Memorial Hospital CurrentSince Dec 1, 2015 Accepting new patients
Franklin County Memorial Hospital CurrentSince Jul 1, 2025 Accepting new patients
Franklin County Memorial Hospital Past Accepting new patients

Locations

136 Main St N
Bude, MS 39630
Phone (601) 384-2394

40 Union Church Rd
Meadville, MS 39653
Phone (601) 384-2273

595 Main St E
Meadville, MS 39653
Phone (601) 249-1350

Organizations & group practices 4

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396396800000",
    "number": "1790911303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 MAIN ST E",
            "address_2": "P.O. BOX 636",
            "city": "MEADVILLE",
            "state": "MS",
            "postal_code": "396539233",
            "telephone_number": "601-384-3199",
            "fax_number": "601-384-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 MAIN ST E",
            "city": "MEADVILLE",
            "state": "MS",
            "postal_code": "396539233",
            "telephone_number": "601-384-3199",
            "fax_number": "601-384-3950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTES",
        "first_name": "KIMBERLY",
        "middle_name": "JOHNSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-09",
        "last_updated": "2014-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "T2160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadville, MS

Sources for this page

Verify at the official NPI Registry.