NPIMap

Individual provider Active NPI

Paul G Dykes, MD

  • Nephrology Physician
  • Brookhaven, MS
National Provider Identifier
1861474827
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
15940 Issued in MS
Practice address
513C Brookman Dr
Brookhaven, MS 39601-2326
Phone
(601) 833-3822
Fax
(601) 835-4330
NPI assigned
Nov 16, 2005
Last updated
Nov 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 15940 MS Primary
Hospitalist Physician 208M00000X 15940 MS

Addresses

Primary practice location

513C Brookman Dr
Brookhaven, MS 39601-2326

Mailing address

513C Brookman Dr
Brookhaven, MS 39601-2326
Phone (601) 833-3822

Other identifiers 1

IdentifierTypeStateIssuer
008059229MedicaidMS

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
I20101013000434 MS Practitioner - NephrologyPractitioner - Internal Medicine 8325130750 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of Mississippi School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minor Med Care, LLCGroup PAC ID 7618866021, shared by 2 NPIs, 77 clinicians
MDB Behavioral Health Services LLCGroup PAC ID 0749572915, 201 clinicians
Kings Daughters Medical CenterGroup PAC ID 3072575539, 75 clinicians
Southwest Ms Nephrology, PLLCGroup PAC ID 0345203857, 4 clinicians

Practice addresses (Care Compare)

120 W Main St
Raymond, MS 39154-1223
Phone (601) 857-2341

1911 Mission
66 Suite B
Vicksburg, MS 39180-3762
Phone (601) 456-2598

205 Marion Ave
McComb, MS 39648-2705
Phone (601) 684-9116

215 Marion Ave
McComb, MS 39648-2705
Phone (601) 249-1382

427 Hwy 51 N
Brookhaven, MS 39601-2350
Phone (601) 833-6011

513 C Brookman Dr
Brookhaven, MS 39601-2326
Phone (601) 833-3822

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kings Daughters Medical Center Current Accepting new patients
Southwest Mississippi Regional Medical Center CurrentSince Oct 1, 2017 Accepting new patients
Southwest Ms Nephrology, PLLC Nephrology CurrentSince Oct 1, 2003 Accepting new patients
Southwest Mississippi Regional Medical Center CurrentSince Oct 1, 2017 Accepting new patients
King's Daughters Medical Center CurrentSince Jan 23, 2011 Accepting new patients
King's Daughters Medical Center CurrentSince Jan 23, 2011 Accepting new patients
Southwest Mississippi Regional Medical Center Current Accepting new patients
Magnolia Healthcare, Inc. PastSince May 20, 2025 Accepting new patients
Southwest Mississippi Regional Medical Center Past Accepting new patients
Magnolia Healthcare, Inc. Past Accepting new patients

Locations

427 Highway 51 N
Brookhaven, MS 39601
Phone (601) 833-6011

513C Brookman Dr
Brookhaven, MS 39601
Phone (601) 833-3822

215 Marion Ave
McComb, MS 39648
Phone (601) 249-1180

Interoperability endpoints

  • Direct secure messaging: pdykes24219@direct.acumenmd.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Magnolia Healthcare, Inc.Brookhaven, MS, CCN 255221 Skilled nursing facility Adp of the SNF May 20, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 11

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 11

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": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1861474827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513C BROOKMAN DR",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396012326",
            "telephone_number": "601-833-3822",
            "fax_number": "601-835-4330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513C BROOKMAN DR",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396012326",
            "telephone_number": "601-833-3822",
            "fax_number": "601-835-4330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYKES",
        "first_name": "PAUL",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MS",
            "license": "15940",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MS",
            "license": "15940",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008059229",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookhaven, MS

Sources for this page

Verify at the official NPI Registry.