EVERETT C MCKIBBEN MD – NPI #1093873713
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

EVERETT MCKIBBEN is a physician located in STARKVILLE, MS. NPPES has assigned the NPI number 1093873713 to EVERETT MCKIBBEN on December 05, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was last updated on Jan 13, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EVERETT MCKIBBEN below.

NPI Profile for
EVERETT C. MCKIBBEN

NPI Number
1093873713
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
EVERETT C. MCKIBBEN
Professional Name: EVERETT C MCKIBBEN
Credentials
MD
Primary location
THE LAIRD CLINIC
103 DOCTORS PARK
STARKVILLE, MS 39759
Phone: (662) 323-2515 Fax: (662) 323-2557
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Jan 13, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for EVERETT MCKIBBEN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidMS00110394
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)		 MS 12519

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE - Graduated 1989
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
EVERETT MCKIBBEN is affiliated with the following medical group(s):
  • HOSPITAL
    • BMH-GOLDEN TRIANGLE
      2520 5TH STREET N
      COLUMBUS, MS 39705
    • OCH REGIONAL MEDICAL CENTER
      400 HOSPITAL ROAD /MAIL PO BOX 1506
      STARKVILLE, MS 39759
  • HOME HEALTH AGENCY
    • KINDRED AT HOME
      189 PARK CREEK DRIVE
      COLUMBUS, MS 39705
    • MISSISSIPPI HOMECARE OF EUPORA
      1700 VETERANS MEMORIAL BLVD, SUITE B
      EUPORA, MS 39744
  • NURSING HOME
    • STARKVILLE MANOR HEALTH CARE AND REHABILITATION CE
      1001 HOSPITAL ROAD
      STARKVILLE, MS 39759
  • HOSPICE
    • KINDRED HOSPICE
      403 HOSPITAL ROAD
      STARKVILLE, MS 39759

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