Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jefferson County Hospital

Organization Family Medicine Physician · NPI 1780894253

Jefferson County Hospital is a Family Medicine Physician in Fayette, Mississippi. Licensed in Mississippi. Registered with an NPI since 2007.

Licensed in
MS
In the registry since
2007
Specialties on file
4

Practice location Address checks out

870 Main St
Fayette, MS 39069
Phone: (601) 786-3401
Fax: (601) 786-3400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospice and Palliative Medicine (Internal Medicine) Physician (primary) Taxonomy 207RH0002X · Licence 14721 (MS)
Family Medicine Physician Taxonomy 207Q00000X · Licence 14997 (MS)
Family Medicine Physician Taxonomy 207Q00000X · Licence 07965 (MS)
Internal Medicine Physician Taxonomy 207R00000X · Licence 16670 (MS)

Record details

NPI number1780894253
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerry Kennedy — Administrator · (601) 786-3401
Other names Jefferson County Hospital Er Physician Claims
NPI enumeratedMay 23, 2007
Last updated in NPPESSeptember 11, 2025
Mailing address870 Main Street, Fayette, MS 39069

Other providers in Fayette