Kallie Sheridan
NPI 1609631134 · Pediatrics Physician · Jackson, MS
Enrolled with Medicare as Order and Referring Only - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kallie Sheridan is a Pediatrics Physician provider in Jackson, MS (NPI 1609631134).
Provider details
- NPI number
- 1609631134
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- T-5894 (MS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-02-14
- Last updated
- 2025-07-01
- Certified
- 2025-07-01
Frequently asked questions
- What is Kallie Sheridan's NPI number?
- Kallie Sheridan's National Provider Identifier (NPI) is 1609631134, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kallie Sheridan's specialty?
- Kallie Sheridan is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Kallie Sheridan located?
- Kallie Sheridan's practice location on file with NPPES is 2500 N State St, Jackson, MS 39216-4500.
- What is Kallie Sheridan's phone number?
- The practice phone number listed in the NPPES registry for Kallie Sheridan is (601) 984-5012.
- Does Kallie Sheridan accept Medicare?
- Kallie Sheridan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kallie Sheridan's NPI active?
- Yes — Kallie Sheridan's NPI (1609631134) is active in the NPPES registry as of the last update on 2025-07-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.