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

Kilmichael Hospital

Organization Family Medicine Physician · NPI 1518176445

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

Licensed in
MS
In the registry since
2007
Specialties on file
7

Practice location Address checks out

301 Lamar Ave
Kilmichael, MS 39747-0188
Phone: (662) 262-4311
Fax: (662) 262-5586
Show map & directions

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

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence MS06391 (MS)
Family Medicine Physician Taxonomy 207Q00000X · Licence 12496 (MS)
Family Medicine Physician Taxonomy 207Q00000X · Licence 16482 (MS)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 000010138 (MS)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 10138 (MS)
Nurse Practitioner Taxonomy 363L00000X · Licence R605859 (MS)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence R504696 (MS)

Record details

NPI number1518176445
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Calvin Johnson — Administrator · (662) 262-4311
Other names Kilmichael Hospital Professional Group
NPI enumeratedMay 21, 2007
Last updated in NPPESMay 17, 2011
Mailing addressPo Box 188, Kilmichael, MS 39747-0188