Kimyuana Jackson Dorris, PMHNP, AGNP-C

ActiveIndividual ProviderFamily Medicine
NPI issued: October 11, 2020

Quick Facts

NPI Number
1184222374
TypeIndividual
StatusActive
SpecialtyFamily Medicine
Taxonomy207QA0505X — Family Medicine
Phone
(601) 665-4162
StateMS

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1184222374)
✅Active status confirmed
✅Verified by CMS NPPES Registry
✅HIPAA compliant identifier
✅Enumeration date on file (October 11, 2020)
Data source: CMS NPPES

Provider Overview

KIMYUANA JACKSON DORRIS, PMHNP, AGNP-C is a Family Medicine provider based in Flowood, MS who has been registered with CMS since 2020. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1184222374
Provider TypeIndividual Provider
GenderFemale
CredentialPMHNP, AGNP-C
StatusActive
Enumeration DateOctober 11, 2020

Practice Location

CityFlowood
StateMS
ZIP Code39232-9588
Phone(601) 665-4162

Specialties & Licenses

★ Primary
SpecialtyFamily Medicine
Taxonomy Code207QA0505X
License StateMS

Mailing Address

CityFlowood
StateMS
ZIP Code39232-9588
Phone(601) 665-4162
Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1184222374 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

🏥

For Credentialing

Reference NPI 1184222374for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1184222374 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Family Medicine

Family Medicine physicians provide comprehensive primary care to patients of all ages, managing acute illnesses, tracking chronic conditions, and emphasizing preventive healthcare.

Browse all Family Medicineproviders →
📊
3,796
Family Medicine Providers in the US

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People Also Ask

What is Kimyuana Jackson Dorris's NPI number?
Kimyuana Jackson Dorris's NPI number is 1184222374, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Kimyuana Jackson Dorris's NPI currently active?
Yes, Kimyuana Jackson Dorris's NPI status is Active as of the latest CMS NPPES database updates.
What does Kimyuana Jackson Dorris specialize in?
Kimyuana Jackson Dorris specializes in Family Medicine. The healthcare taxonomy code associated with this specialty is 207QA0505X.
Where does Kimyuana Jackson Dorris practice?
Kimyuana Jackson Dorris practices in Flowood, MS 39232-9588.
When was Kimyuana Jackson Dorris's NPI issued?
Kimyuana Jackson Dorris's NPI was issued on October 11, 2020.
What is Kimyuana Jackson Dorris's provider type?
Kimyuana Jackson Dorris is registered as an Individual Provider under CMS NPI Type 1.