Individual provider Active NPI

Kayla Bailey Harris, NP

  • Family Nurse Practitioner
  • Brandon, MS
National Provider Identifier
1114545464
Registry record updated Jul 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
903842 Issued in MS
Practice address
1645 W Government St Ste F
Brandon, MS 39042-4602
Phone
(601) 829-6600
Fax
(601) 825-1291
NPI assigned
Jul 13, 2020
Last updated
Jul 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 903842 MS Primary

Addresses

Primary practice location

1645 W Government St Ste F
Brandon, MS 39042-4602

Mailing address

1645 W Government St Ste F
Brandon, MS 39042-4602
Phone (601) 829-6600

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Kvb117@hotmail.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, LA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200727002945 MS Practitioner - Nurse Practitioner 5597189399 Reassigns benefits to 8 organizations
I20251028004032 LA Practitioner - Nurse Practitioner 5597189399 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trustcare Health, LLCGroup PAC ID 0547427858, 40 clinicians
Minor Med Care, LLCGroup PAC ID 7618866021, shared by 2 NPIs, 77 clinicians
Uppal Medical Center LLCGroup PAC ID 4587998547, 129 clinicians
MDB Behavioral Health Services LLCGroup PAC ID 0749572915, 201 clinicians
Heal All Wound Care LLCGroup PAC ID 8123561966, 10 clinicians
McFatter Family Medical, LLCGroup PAC ID 0648678185, 8 clinicians

Practice addresses (Care Compare)

1051 Highland Colony Pkwy
Suite E
Ridgeland, MS 39157-7701
Phone (601) 707-3737

120 W Main St
Raymond, MS 39154-1223
Phone (601) 857-2341

1727 E Union St
Greenville, MS 38703-3253
Phone (662) 537-4830

1911 Mission
Vicksburg, MS 39180-3762
Phone (601) 456-2598

209 Front St
Vidalia, LA 71373-2837
Phone (601) 665-4162

660 Lakeland E Dr
Suite 210
Flowood, MS 39232-9777
Phone (601) 665-4162

710 Highland Colony Pkwy
Suite a
Ridgeland, MS 39157-8701
Phone (601) 398-9886

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
903842MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Strategic Solutions-Panola Medical Center LLC CurrentSince Apr 4, 2024 Accepting new patients
Heal All Wound Care LLC CurrentSince Dec 1, 2024 Accepting new patients
MDB Care Management LLC CurrentSince Aug 17, 2025 Accepting new patients
Minor Med Care, LLC Current Accepting new patients
Uppal Medical Center LLC CurrentSince Aug 17, 2025 Accepting new patients
Minor Med Care, LLC CurrentSince Aug 17, 2025 Accepting new patients
MDB Behavioral Health Services LLC CurrentSince Aug 1, 2024 Accepting new patients
Strategic Solutions-Panola Medical Center LLC CurrentSince Apr 4, 2024 Accepting new patients
McFatter Family Medical, LLC CurrentSince Aug 21, 2024 Accepting new patients
Trustcare Primary Care, LLC Past Accepting new patients
Heal All Wound Care LLC PastSince Dec 1, 2024 Accepting new patients

Locations

209 Front St
Vidalia, LA 71373
Phone (318) 336-6500

255 Medical Center Dr
Batesville, MS 38606
Phone (662) 563-2163

660 Lakeland East Dr
Ste 210
Flowood, MS 39232
Phone (601) 664-4162

1727 E Union St
Greenville, MS 38703
Phone (662) 332-0373

215 Katherine Dr
#A
Jackson, MS 39232

2860 McDowell Road Ext
Jackson, MS 39204
Phone (601) 372-1117

1896 Main St
Ste A
Madison, MS 39110
Phone (769) 289-1114

710 Highland Colony Pkwy
Ste A
Ridgeland, MS 39157
Phone (601) 398-9886

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ADFAED/Endpoint/ADFAED

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594598400000",
    "number": "1114545464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 W GOVERNMENT ST STE F",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390424602",
            "telephone_number": "601-829-6600",
            "fax_number": "601-825-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 W GOVERNMENT ST STE F",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390424602",
            "telephone_number": "601-829-6600",
            "fax_number": "601-825-1291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "KAYLA",
        "middle_name": "BAILEY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-13",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "903842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Kvb117@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1645 W Government St Ste F",
            "city": "Brandon",
            "state": "MS",
            "country_code": "US",
            "postal_code": "390424602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brandon, MS

Sources for this page

Verify at the official NPI Registry.