Premier Medical Group of Mississippi LLC
NPI 1790827038 · Clinic/Center · Kosciusko, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Premier Medical Group of Mississippi LLC is a Clinic/Center organization in Kosciusko, MS (NPI 1790827038).
Provider details
- NPI number
- 1790827038
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jackey Turner, Medical Director(662) 289-1800
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Other names (DBA / former)
- Doing business as
- Kosciusko Medical Clinic
Registry dates
- Enumerated
- 2007-02-13
- Last updated
- 2008-10-02
Frequently asked questions
- What is Premier Medical Group of Mississippi LLC's NPI number?
- Premier Medical Group of Mississippi LLC's National Provider Identifier (NPI) is 1790827038, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Premier Medical Group of Mississippi LLC?
- Premier Medical Group of Mississippi LLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Premier Medical Group of Mississippi LLC located?
- Premier Medical Group of Mississippi LLC's practice location on file with NPPES is 332 Highway 12 W, Kosciusko, MS 39090-3209.
- What is Premier Medical Group of Mississippi LLC's phone number?
- The practice phone number listed in the NPPES registry for Premier Medical Group of Mississippi LLC is (662) 289-1800.
- Does Premier Medical Group of Mississippi LLC accept Medicare?
- Premier Medical Group of Mississippi LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Premier Medical Group of Mississippi LLC?
- The authorized official listed on Premier Medical Group of Mississippi LLC's NPPES record is Jackey Turner, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Premier Medical Group of Mississippi LLC's NPI active?
- Yes — Premier Medical Group of Mississippi LLC's NPI (1790827038) is active in the NPPES registry as of the last update on 2008-10-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.