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

Kassie Stafford, PA

Individual provider Physician Assistant · NPI 1245567775

Kassie Stafford, PA is a Physician Assistant in Pass Christian, Mississippi. Qualified in 2009, 17 years ago. Practices with The Dermatology Clinic, PLLC, a 7-clinician group and accepts Medicare assignment. Licensed in Louisiana and Mississippi.

Years since qualifying
17
Licensed in
LA, MS
In the registry since
2009
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

116 Menge Ave Apt A
Pass Christian, MS 39571-4738
Phone: (228) 586-9565
Fax: (228) 864-3333
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA00128 (MS)
Physician Assistant Taxonomy 363A00000X · Licence PA.200296 (LA)

Record details

NPI number1245567775
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 4, 2009
Last updated in NPPESOctober 18, 2024
Certification dateOctober 18, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice The Dermatology Clinic, Pllc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare