Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Keneisha Dean

Individual provider Family Medicine Physician · NPI 1295344224

Keneisha Dean is a Nurse Practitioner in Canton, Mississippi. Qualified in 2020, 6 years ago. Practices with G a Carmichael Family Health Center, Inc, a 23-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
6
Licensed in
MS
In the registry since
2020
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Practice location Address checks out

1668 W Peace St
Canton, MS 39046-5332
Phone: (662) 859-5213
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 903945 (MS)

Record details

NPI number1295344224
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 27, 2020
Last updated in NPPESJuly 27, 2020
Certification dateJuly 27, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice G A Carmichael Family Health Center, Inc. — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • Merit Health Madison Hospital · Canton, MS

Colleagues at G a Carmichael Family Health Center, Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 23 clinicians in the practice; 12 are shown here.

Other providers in Canton