Internal Medicine, Hospice and Palliative Medicine
JEFFERSON COUNTY HOSPITAL
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1780894253 · enumerated 2007-05-23 · record updated 2025-09-11. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Mr. JERRY KENNEDY, Administrator · (601) 786-3401
Other names: JEFFERSON COUNTY HOSPITAL ER PHYSICIAN CLAIMS
Addresses and phones
- Mailing address 870 MAIN STREET, FAYETTE, MS, 39069 (601) 786-3401 Fax (601) 786-3400 Google Maps Apple Maps OpenStreetMap
- Practice location 870 MAIN STREET, FAYETTE, MS, 39069 (601) 786-3401 Fax (601) 786-3400 Google Maps Apple Maps OpenStreetMap
Specialties
- Family Medicine 207Q00000X · License 14997 MS
- Family Medicine 207Q00000X · License 07965 MS
- Internal Medicine 207R00000X · License 16670 MS
- Internal Medicine, Hospice and Palliative Medicine 207RH0002X · Primary · License 14721 MS
In this directory
MS Jefferson County Fayette Internal Medicine, Hospice and Palliative Medicine
Locations and evidence
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Practice location
FAYETTE, MS, 39069
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.