Kelly Dyess Johnson, MD
Pediatrics Physician · Gulfport, MS
Kelly Dyess Johnson, MD is a pediatrics physician with a practice address in Gulfport, Mississippi, and NPI 1487236295, issued on Apr 22, 2021. Check the license (Mississippi 36112, as entered in NPPES) on the Mississippi State Board of Medical Licensure; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Kelly Dyess Johnson
- Credential
- MD
- Primary taxonomy
- Pediatrics Physician 208000000X
- License number
- 36112 MS
Self-reported in NPPES; status is on the state search - Practice location
- 4500 13TH St, Gulfport, MS 39501
- Phone
- (228) 867-4000
- Enumerated
- Apr 22, 2021
- Record last updated
- Dec 30, 2025
- Medicare enrollment
- Enrolled (PECOS I20260508003251); may accept Medicare assignment
- Entity
- Type 1 · individual
8 nearest pediatrics physician records → All 417 in Mississippi → Look up another NPI →
Also registered at 4500 13TH St
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Rachel Allen Rydbeck, NPNurse Practitioner1568921245
Verify Kelly Dyess Johnson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMississippi State Board of Medical Licensure
Search for license 36112Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Kelly Dyess Johnson among 417 pediatrics physician records in Mississippi
Kelly Dyess Johnson, MD is one of 417 pediatrics physician records with a practice address in Mississippi. 58% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2021, is newer than 83% of them.
- NPI issued2021 · 83% of these records are older, 13% newer
- In a Medicare fileNo · 58% of these records are
- In the CMS Doctors and Clinicians fileYes · 11% of these records are
- Graduated2021 · median 2013 among the 45 with a school on file
- Record last updated2025 · 62% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208000000X and a Mississippi practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Pediatrics Physician providers in Mississippi
There are 417 pediatrics physician records in Mississippi. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 417 in Mississippi → Every provider in Gulfport → Pediatrics Physician nationwide →
The 8 pediatrics physician records with the nearest ZIP codes
- Taylor Jahn, MDGulfport, MS 395011568041804
- Stephen Mikell, MDGulfport, MS 395011306898614
- Jonette Scott, M.D.Gulfport, MS 395011083714612
- Timothy Bruni, M.D.Gulfport, MS 395031871604611
- Ronald Bruni, M.D.Gulfport, MS 395031093819435
- Christie Devlin-Schroll, M.D.Gulfport, MS 395031134178262
- Catherine Donald, M.D.Gulfport, MS 395031235171265
- Erica Frank, MDGulfport, MS 395031326093915
Common questions
What is Kelly Dyess Johnson, MD's NPI number?
Kelly Dyess Johnson, MD's National Provider Identifier (NPI) is 1487236295, issued on Apr 22, 2021. An NPI identifies a provider in billing; it is not a license.
Where is Kelly Dyess Johnson, MD located?
The NPPES record lists a practice address at 4500 13TH St, Gulfport, MS, 39501. Phone: (228) 867-4000. Providers update this record themselves, so call before visiting.
How can I verify Kelly Dyess Johnson, MD's license?
NPPES lists Mississippi license number 36112, as entered by the provider. Search the Mississippi State Board of Medical Licensure at https://www.msbml.ms.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.