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

Individual provider Obstetrics & Gynecology Physician · NPI 1881665859

Mark J Kellum, MD is an Obstetrics/Gynecology in Tupelo, Mississippi. Qualified in 1985, 41 years ago. Practices with Obstetrics Gynecology Associates PA, an 11-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
41
Licensed in
MS
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1793 Cliff Gookin Blvd
Tupelo, MS 38801-6723
Phone: (662) 842-1161
Fax: (662) 844-4107
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 11046 (MS)

Record details

NPI number1881665859
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 30, 2006
Last updated in NPPESJune 21, 2012
Mailing address1793 Cliff Gookin Blvd, Tupelo, MS 38801-6723

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 1985 (41 years in practice)
Group practice Obstetrics Gynecology Associates Pa — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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