Active NPI
Tracy Leigh Ladner, C.F.N.P
- Family Nurse Practitioner
- Gulfport, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R850568
- Practice address
- 15200 Community Rd
Gulfport, MS 39503-3085 - Phone
- (228) 575-7000
- NPI assigned
- Jan 24, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R850568 | MS | Primary |
Addresses
Primary practice location
15200 Community Rd
Gulfport, MS 39503-3085
Mailing address
PO Box 1729
Hattiesburg, MS 39403-1729
Phone (601) 545-8700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09330877 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140331000478 | MS | Practitioner - Nurse Practitioner | 1951532225 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R850568 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hattiesburg Community Dental Center | Current | Accepting new patients | |
| Keystone Medical Services of Ms, Inc | Current | Accepting new patients | |
| Sumrall Family Health Center | Current | Accepting new patients | |
| New Augusta Family Health Center | Past | Accepting new patients | |
| Petal School Clinic | Past | Accepting new patients | |
| Brooklyn Family Health Center | Past | Accepting new patients | |
| Lamar County School Clinic | Past | Accepting new patients | |
| N R Burger School and Community Clinic | Past | Accepting new patients | |
| Lumberton Family Health Center | Past | Accepting new patients | |
| Seminary Family Health Center | Past | Accepting new patients | |
| Minor Care Clinic | Past | Accepting new patients | |
| Southeast Mississippi Rural Health Initiative, Inc. | Past | Accepting new patients | |
| Picayune Family Health Center | Past | Accepting new patients | |
| Hattiesburg Public School and Community Clinic | Past | Accepting new patients | |
| Beaumont Family Health Center | Past | Accepting new patients | |
| Women'S Health Center | Past | Accepting new patients | |
| Hattiesburg High School and Community Clinic | Past | Accepting new patients | |
| Semrhi Mobile Healthcare Unit | Past | Accepting new patients |
Locations (25 of 46)
215 Old Highway 49 E
Brooklyn, MS 39425
Phone 60154587002217
8 Burborne St
Brooklyn, MS 39425
Phone (601) 545-7714
44 Brooklyn Janice Rd
Brooklyn, MS 39425
Phone (601) 582-1188
1560 Sumrall Rd
Columbia, MS 39429
Phone (601) 736-6303
2207 W 7th St
Hattiesburg, MS 39401
Phone (601) 450-6500
1760 Old Highway 24
Hattiesburg, MS 39402
Phone (601) 264-6724
70 Leaf Ln
Hattiesburg, MS 39402
Phone (601) 264-9764
316 Travillion Rd
Hattiesburg, MS 39401
Phone (601) 584-9303
605 Stadium Dr
Hattiesburg, MS 39401
Phone (601) 450-0310
301 Hutchinson Ave
Hattiesburg, MS 39401
Phone (601) 450-6101
62 Old Airport Rd
Hattiesburg, MS 39401
Phone (601) 544-4550
66 Old Airport Rd
Hattiesburg, MS 39401
Phone (601) 544-7500
693 Eatonville Rd
Hattiesburg, MS 39401
Phone 60125526602217
404 Lillie Burney St
Hattiesburg, MS 39401
Phone (601) 450-6500
500 Martin Luther King Ave
Hattiesburg, MS 39401
Phone (601) 583-0960
10 Archie Smith Rd
Hattiesburg, MS 39402
Phone (601) 268-2217
5198 Old Highway 11
Hattiesburg, MS 39402
Phone (601) 264-7232
5279 W 4th St
Hattiesburg, MS 39402
Phone (601) 264-3858
901 Ida Ave
Hattiesburg, MS 39401
Phone (601) 582-5291
702 Eatonville Rd
Hattiesburg, MS 39401
2900 Jamestown Rd
Hattiesburg, MS 39402
Phone (601) 255-2660
526 Forrest St
Hattiesburg, MS 39401
Phone (601) 583-4311
790 Elks Lake Rd
Hattiesburg, MS 39401
Phone (601) 582-4890
2006 Oferral St
Hattiesburg, MS 39401
Phone (601) 583-8112
123 S 27th Ave
Hattiesburg, MS 39401
Phone (601) 450-3030
Interoperability endpoints
- tladner101548@directpatientrecord.com
Organizations & group practices 18
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Hattiesburg, MS
- NPI 1366468266
-
- Federally Qualified Health Center (FQHC)
- Beaumont, MS
- NPI 1831166826
-
- Federally Qualified Health Center (FQHC)
- Brooklyn, MS
- NPI 1659348076
-
- Federally Qualified Health Center (FQHC)
- Hattiesburg, MS
- NPI 1760451777
-
- Federally Qualified Health Center (FQHC)
- Hattiesburg, MS
- NPI 1023087400
-
- Federally Qualified Health Center (FQHC)
- Purvis, MS
- NPI 1679147847
-
- Federally Qualified Health Center (FQHC)
- Lumberton, MS
- NPI 1164499174
-
- Federally Qualified Health Center (FQHC)
- Hattiesburg, MS
- NPI 1508874769
-
- Federally Qualified Health Center (FQHC)
- Hattiesburg, MS
- NPI 1518907054
-
- Federally Qualified Health Center (FQHC)
- New Augusta, MS
- NPI 1881661874
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southeast Mississippi Rural Health Initiative, Inc.
Practice addresses (Care Compare)
1911 Read Rd
Picayune, MS 39466-2730
Phone (601) 251-3500
Hospital & facility affiliations
- Highland Community Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474588800000",
"number": "1003239294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1729",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394031729",
"telephone_number": "601-545-8700",
"fax_number": "601-450-2493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15200 COMMUNITY RD",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395033085",
"telephone_number": "228-575-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LADNER",
"first_name": "TRACY",
"middle_name": "LEIGH",
"credential": "C.F.N.P",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-24",
"last_updated": "2016-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "R850568",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09330877",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gulfport, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.