| Kandi Johnson, | |
|
1612 E County Line Rd, Ridgeland, MS 39157-1906 | |
| (601) 429-1160 | |
| Not Available |
| Full Name | Kandi Johnson |
|---|---|
| Gender | |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 1612 E County Line Rd, Ridgeland, Mississippi |
| Accepts Medicare Assignments | Yes. This provider accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780551234 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 907716 (Mississippi) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fast Pace Mississippi Pllc | 3678832029 | 192 |
| Entity Name | Fast Pace Mississippi PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447769559 PECOS PAC ID: 3678832029 Enrollment ID: O20180111000291 |
| Entity Name | Upperline Healthcare PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538686498 PECOS PAC ID: 4385900653 Enrollment ID: O20250515002154 |
| Mailing Address | Practice Location Address |
|---|---|
| Kandi Johnson, 1612 E County Line Rd, Ridgeland, MS 39157-1906 Ph: Not Available | Kandi Johnson, 1612 E County Line Rd, Ridgeland, MS 39157-1906 Ph: (601) 429-1160 |
Ebonique Martin Buckner, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 768 Avery Blvd N, Ridgeland, MS 39157 Phone: 601-487-6482 |
Thomas Howington, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 786 Lake Harbour Dr, Ridgeland, MS 39157 Phone: 601-499-0022 |
Mrs. Tonya Mayers-sherman, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 625 S Pear Orchard Rd Ste B, Ridgeland, MS 39157 Phone: 769-233-8484 Fax: 769-233-8051 |
Mrs. Ana Evelia Recinos, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1107 Highland Colony Pkwy Ste 209, Ridgeland, MS 39157 Phone: 601-707-3737 |
Ms. Larona Rachelle Searcy, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 357 Towne Center Blvd Ste 204, Ridgeland, MS 39157 Phone: 601-503-0335 Fax: 601-273-4781 |
Madison Lynn Tolbert, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 680 Highway 51 Ste D, Ridgeland, MS 39157 Phone: 769-251-1040 Fax: 769-251-1047 |
Kenneth Kaiser, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11 Professional Pkwy, Ridgeland, MS 39157 Phone: 601-856-2460 Fax: 601-856-4687 |