Individual provider

Kellen Dawson

Dermatopathology (Pathology) Physician Medicare enrolled

Kellen Dawson is a Dermatopathology (Pathology) Physician in Jackson, MS, registered under NPI 1033615919. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 3120 OLD CANTON RD, Jackson, MS 39216. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

3120 OLD CANTON RD, Jackson, MS 39216 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
31541 MS Dermatopathology (Pathology) Physician primary

This provider holds licence 31541 issued in MS. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Order And Referring Only - Pathology
PAC ID
1153679634

Medicare enrolment is recorded as approved under the provider type Order And Referring Only - Pathology. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Dermatopathology covers

A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy. NUCC Health Care Provider Taxonomy, code 207ZD0900X
Allopathic & Osteopathic Physicians Pathology Dermatopathology

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1033615919 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateApr 1, 2018
Last updatedOct 6, 2025
StatusActive
Sole proprietorYes
Practice address 3120 OLD CANTON RD
Jackson, MS 39216
(800) 685-3772
This record was updated on Oct 6, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1033615919 passes the NPI check digit test The final digit 9 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 3 3 6 1 5 9 1
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 6 3 3 1 1 9 2

Sum = 51 · next multiple of 10 = 60 · check digit = 9 · actual last digit = 9

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1033615919?
NPI 1033615919 is the National Provider Identifier assigned to Kellen Dawson in Jackson, MS. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Dermatopathology cover?
A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light…
How do I contact Kellen Dawson?
The phone number on file with NPPES is (800) 685-3772, last updated Oct 6, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Kellen Dawson accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1033615919 a valid number?
Yes. 1033615919 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.