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KIMBERLY C. COVINGTON TARVER MD NPI 1013942895


NPI Information

NPI: 1013942895
Provider Name: KIMBERLY C. COVINGTON TARVER, MD
Classification: Internal Medicine - 207RG0300X
Entity Type: Individual

Specialization: Geriatric Medicine

PECOS Registration: Yes

Address:
2500 NORTH STATE STREET
DEPARTMENT OF MEDICINE/DIVISION OF GERIATRICS
JACKSON, MS
ZIP 39216
Phone: (601) 984-6426
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Kimberly C. Covington Tarver, MD is a geriatric medicine internal medicine in Jackson, MS with 30 years of experience. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. Kimberly C. Covington Tarver, MD NPI is 1013942895. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduation Year:1994

The provider's business location address is:

2500 NORTH STATE STREET
DEPARTMENT OF MEDICINE/DIVISION OF GERIATRICS
JACKSON, MS
ZIP 39216-500
Phone: (601) 984-6426
Fax: (601) 984-6439

The NPI 1013942895 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/11/2006 and was last updated on 4/9/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RG0300XInternal MedicineGeriatric Medicine14422MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1P00462331OTHERMISSISSIPPIRAILROAD MEDICARE PTAN
2302I383085MEDICARE PINMISSISSIPPI
3512I380001MEDICARE PINMISSISSIPPI
407483295MEDICAIDMISSISSIPPI
5RR 110159204OTHERMISSISSIPPIRAILROAD
6G55482MEDICARE UPINMISSISSIPPI
7380000006MEDICARE ID-TYPE UNSPECIFIEDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.