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

Kelly Brister, MD

Individual provider Surgical Oncology Physician · NPI 1811381957

Kelly Brister, MD is a Surgical Oncology in Jackson, Mississippi. Qualified in 2021, 5 years ago. Practices with State of Mississippi - University of Mississippi Medical Center, a 952-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Mississippi.

Years since qualifying
5
Licensed in
MS
In the registry since
2015
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2500 N State St
Jackson, MS 39216-4500
Phone: (601) 815-1292
Fax: (601) 984-5110
Show map & directions

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

Specialties & licences

Surgical Oncology Physician (primary) Taxonomy 2086X0206X · Licence 27795 (MS)

Record details

NPI number1811381957
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 26, 2015
Last updated in NPPESJune 1, 2022
Certification dateMay 17, 2022

Medicare enrollment

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

Medicare specialtySURGICAL ONCOLOGY
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice State Of Mississippi - University Of Mississippi Medical Center — 952 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Jackson