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Khalihah Ellis , CSW

Case Manager/Care Coordinator β€’ Grenada, MS

Active NPI 1124526322 Individual Practitioner Female Practitioner
Practice location in NPPES

980 Fairwood Dr
Grenada, MS 389013609

Call 6622302144 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

980 Fairwood Dr

Grenada, MS 389013609

Telephone 6622302144

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Compared with the same specialty in Grenada and Mississippi

1 active clinicians are listed under Case Manager/Care Coordinator with a practice address in Grenada, MS (656 in Mississippi).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Mississippi State Medical Licensing Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
1108804 (LA)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 17, 2018

Case Manager/Care Coordinator

βœ…
NPI Profile Active January 23, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 23, 2018

Registered at 980 FAIRWOOD DR, GRENADA, MS 389013609 (Tel: 6622302144)

πŸ“
Business Mailing Address (Initial Record) January 23, 2018

Registered at 980 FAIRWOOD DR, GRENADA, MS 389013609 (Tel: 6622302144)

πŸ‘€
Provider Name / Credentials (Initial Record) January 23, 2018

Recorded as KHALIHAH ELLIS, CSW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 23, 2018

Social Worker (license number reported to NPPES: LA 14695)

🟒
Initial NPI Registration & Enumeration January 23, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1124526322
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 23, 2018
Last Update: September 17, 2018
Sole Proprietor: Yes

Mailing Address

980 Fairwood Dr

Grenada, MS 389013609

Phone: 6622302144

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.