Kenneth Farrish, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

80104 Issued in MS

Practice address

705 Highway 80 W
Clinton, MS 39056-4103

Phone

(601) 587-1367

Fax

(601) 373-2879

NPI assigned

Jul 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Sunflower County HospitalGroup PAC ID 6709771637, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

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.

• South Sunflower County Hospital

  • General Acute Care Hospital
  • Indianola, MS
  • NPI 1184679292
  Medicare reassignment Care Compare group
• Canton Foot Clinic

  • Nurse Practitioner
  • Raymond, MS
  • NPI 1659447878
  NPD (past)
• Center for Diabetes Foot Care

  • Podiatrist
  • Jackson, MS
  • NPI 1851339899
  NPD (past)
• Durable Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • Jackson, MS
  • NPI 1073540654
  NPD (past)
• Sandra Thomas

  • Nurse Practitioner
  • Jackson, MS
  • NPI 1578714366
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579219200000",
    "number": "1922032028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 HIGHWAY 80 W",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390564103",
            "telephone_number": "601-587-1367",
            "fax_number": "601-373-2879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 HIGHWAY 80 W",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390564103",
            "telephone_number": "601-587-1367",
            "fax_number": "601-373-2879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRISH",
        "first_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MS",
            "license": "80104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00118423",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Euphoria Home Care
• Chantel C Everett, D.M.D.
• Excell Care Rehabilitation
• Eyes of the Heart Ministries
• Cordelia Fancher, BSW
• Jordan R Faulkner, DPT
• Marisa Finlayson, P-LPC, NCC, PCMHT
• First Intermed Corporation
• Lashonna Denise Fletcher, LPC
• Presley Anne Flowers

• Podiatrist in Clinton, MS
• Providers in Clinton, MS by specialty
• Podiatrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; 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.

Verify at the official NPI Registry.