| Kayti A Powell, CPNP | |
|
1488 Hwy 487 East, Sebastopol, MS 39359-0150 | |
| (601) 625-7403 | |
| (601) 625-7404 |
| Full Name | Kayti A Powell |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 1488 Hwy 487 East, Sebastopol, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730340563 | NPI | - | NPPES |
| 06685060 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | R864059 (Mississippi) | Primary |
| Entity Name | East Central Mississippi Health Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255387619 PECOS PAC ID: 0941103717 Enrollment ID: O20040129000363 |
| Mailing Address | Practice Location Address |
|---|---|
| Kayti A Powell, CPNP 1488 Hwy 487 East, Po Box 150, Sebastopol, MS 39359-0150 Ph: (601) 625-7403 | Kayti A Powell, CPNP 1488 Hwy 487 East, Sebastopol, MS 39359-0150 Ph: (601) 625-7403 |
Mrs. Gaydon Nowell, M.S.N PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1488 Hwy 487 East, Sebastopol, MS 39359 Phone: 601-625-7403 Fax: 601-625-7404 | |
Ashley Kaye Barber, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17509 Highway 21, Sebastopol, MS 39359 Phone: 601-287-8177 Fax: 833-934-3464 | |
Karen Reece, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1488 Highway 487, Sebastopol, MS 39359 Phone: 601-625-7403 Fax: 601-625-7404 | |
Mary Rose Thomas, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1488 Hwy 487, Sebastopol, MS 39359 Phone: 601-625-7403 Fax: 601-625-7404 | |
Ms. Reathia Sue Summers, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 157 Hwy 492, Sebastopol, MS 39359 Phone: 601-668-0302 |