Kevin O'Neal Fornett, CPRSS

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

16 Pecan LN
Long Beach, MS 39560-3622

Phone

(228) 546-1155

NPI assigned

Jun 20, 2013

Last updated

Mar 29, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774742400000",
    "number": "1871932103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 PECAN LN",
            "city": "LONG BEACH",
            "state": "MS",
            "postal_code": "395603622",
            "telephone_number": "228-546-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 PECAN LN",
            "city": "LONG BEACH",
            "state": "MS",
            "postal_code": "395603622",
            "telephone_number": "228-546-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORNETT",
        "first_name": "KEVIN",
        "middle_name": "O'NEAL",
        "name_prefix": "Mr.",
        "credential": "CPRSS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-20",
        "last_updated": "2026-03-29",
        "certification_date": "2026-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Peer Specialist in Long Beach, MS
• Providers in Long Beach, MS by specialty
• Peer Specialist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.