Kdmc Physician Clinics LLC
NPI 1861739161 · Multi-Specialty Clinic/Center · Brookhaven, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kdmc Physician Clinics LLC is a Multi-Specialty Clinic/Center organization in Brookhaven, MS (NPI 1861739161).
Provider details
- NPI number
- 1861739161
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Kings Daughters Medical Center
- Organization subpart
- Yes
- Authorized official
- Scott Christensen, Ceo(601) 835-9488
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
13 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
- 2013-01-08
- Last updated
- 2023-03-27
- Certified
- 2023-03-27
Frequently asked questions
- What is Kdmc Physician Clinics LLC's NPI number?
- Kdmc Physician Clinics LLC's National Provider Identifier (NPI) is 1861739161, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kdmc Physician Clinics LLC?
- Kdmc Physician Clinics LLC is classified in the NPPES registry as Multi-Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Kdmc Physician Clinics LLC located?
- Kdmc Physician Clinics LLC's practice location on file with NPPES is 950 Brookway Blvd, Brookhaven, MS 39601-2644.
- What is Kdmc Physician Clinics LLC's phone number?
- The practice phone number listed in the NPPES registry for Kdmc Physician Clinics LLC is (601) 823-5103.
- Does Kdmc Physician Clinics LLC accept Medicare?
- Kdmc Physician Clinics 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 Kdmc Physician Clinics LLC?
- The authorized official listed on Kdmc Physician Clinics LLC's NPPES record is Scott Christensen, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kdmc Physician Clinics LLC's NPI active?
- Yes — Kdmc Physician Clinics LLC's NPI (1861739161) is active in the NPPES registry as of the last update on 2023-03-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.