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

Individual provider Physician Assistant · NPI 1023555190

Stephanie Keith, PA-C is a Physician Assistant in Jackson, Mississippi. Qualified in 2016, 10 years ago. Practices with Magnolia Dermatology, PLLC, a 12-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
10
Licensed in
MS
In the registry since
2017
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1659 Lelia Dr
Jackson, MS 39216-4818
Phone: (601) 910-3004
Fax: (601) 910-3005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA00311 (MS)

Record details

NPI number1023555190
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 26, 2017
Last updated in NPPESJune 1, 2026
Certification dateJune 1, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Magnolia Dermatology, Pllc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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