Organization
JEFFERSON COUNTY HOSPITAL
Active
Other names
Jefferson County Hospital ER Physician Claims
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY KENNEDY (ADMINISTRATOR)
(601) 786-3401
Entity
Organization
Contact information
Practice address
870 MAIN STREET, FAYETTE, MS 39069
(601) 786-3401
(601) 786-3400
Mailing address
870 MAIN STREET, FAYETTE, MS 39069
(601) 786-3401
(601) 786-3400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
07965
MS
207Q00000X
Family Medicine Physician
14997
MS
207R00000X
Internal Medicine Physician
16670
MS
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
14721
MS
Other
Enumeration date
05/23/2007
Last updated
09/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us