Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
PREMIER MEDICAL GROUP OF MISSISSIPPI LLC
Active
Organization
PREMIER MEDICAL GROUP OF MISSISSIPPI LLC
Active
Other names
Kosciusko Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACKEY D TURNER M.D. (MEDICAL DIRECTOR)
(662) 289-1800
Entity
Organization
Contact information
Practice address
332 HIGHWAY 12 W, KOSCIUSKO, MS 39090-3209
(662) 289-1800
Mailing address
PO BOX 23996, JACKSON, MS 39225-3996
(601) 206-6100
(601) 206-6052
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015162
—
MS
01
—
CG1185
RAILROAD MEDICARE
MS
Enumeration date
02/13/2007
Last updated
10/02/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers