Individual provider Active NPI

Kathleen E Minga, PA-C

  • Physician Assistant
  • New Albany, MS
National Provider Identifier
1073064820
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA00318 Issued in MS
Practice address
118 Fairfield Dr
New Albany, MS 38652
Phone
(662) 534-0898
Fax
(662) 534-8905
NPI assigned
Oct 17, 2016
Last updated
Aug 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA00318 MS Primary
Medical Physician Assistant 363AM0700X PA00318 MS

Addresses

Primary practice location

118 Fairfield Dr
New Albany, MS 38652

Mailing address

118 Fairfield Dr
New Albany, MS 38652
Phone (662) 534-0898

Other practice location 1

119 City Market Dr
Saltillo, MS 38866-7002
Phone (662) 534-0898

Other names 1

  • Katie Minga Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kminga657786@direct.bmhcc.org Health Information Exchange (HIE)

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170307001084 MS Practitioner - Physician Assistant 8729362975 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

118 Fairfield Dr
New Albany, MS 38652-3107
Phone 6625340898215

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine and Pediatric Clinic of New Albany, PLLC Physician Assistant CurrentSince Jan 15, 2023 Accepting new patients

Locations

118 Fairfield Dr
New Albany, MS 38652
Phone (662) 534-0898

119 City Market Dr
Saltillo, MS 38866
Phone (662) 534-0898

Interoperability endpoints

  • Direct secure messaging: kathleenemingapa@impc.ssdirect.aprima.com
  • Direct secure messaging: kminga657786@direct.bmhcc.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1073064820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 FAIRFIELD DR",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "38652",
            "telephone_number": "662-534-0898",
            "fax_number": "662-534-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 FAIRFIELD DR",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "38652",
            "telephone_number": "662-534-0898",
            "fax_number": "662-534-8905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "119 City Market Dr",
            "address_purpose": "LOCATION",
            "city": "Saltillo",
            "state": "MS",
            "postal_code": "388667002",
            "country_code": "US",
            "telephone_number": "662-534-0898",
            "fax_number": "662-534-8905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINGA",
        "first_name": "KATHLEEN",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-17",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MS",
            "license": "PA00318",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MS",
            "license": "PA00318",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kminga657786@direct.bmhcc.org",
            "affiliation": "N",
            "endpointDescription": "EPIC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "118 Fairfield Dr",
            "city": "New Albany",
            "state": "MS",
            "country_code": "US",
            "postal_code": "38652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "MINGA",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New Albany, MS

Sources for this page

Verify at the official NPI Registry.