NPI 1780894253 · live from the CMS NPI Registry
Jefferson County Hospital
Internal Medicine, Hospice and Palliative Medicine in Fayette, MS. National Provider Identifier 1780894253, active.
NPI record
| NPI | 1780894253 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Hospice and Palliative Medicine 207RH0002X |
| Practice location | 870 Main Street, Fayette, MS 39069 |
| Practice phone | 601-786-3401 |
| Enumerated | May 23, 2007 |
| Last updated | September 11, 2025 |
| Authorized official | Jerry Kennedy, Administrator |
| Other names | Jefferson County Hospital Er Physician Claims |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine | 207Q00000X | 14997 (MS) |
| Family Medicine | 207Q00000X | 07965 (MS) |
| Internal Medicine | 207R00000X | 16670 (MS) |
| Internal Medicine, Hospice and Palliative Medicine primary | 207RH0002X | 14721 (MS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.