Kendra S Gardner, NP
Individual provider Active NPI Family Nurse Practitioner · Moss Point, MS
NPI 1134628985 · NPPES record last updated Feb 11, 2026
Key facts
- NPI
- 1134628985
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 902266 (MS)
- Practice address
- 4730 Morris St
Moss Point, MS 39563-2838 - Phone
- (228) 285-0361
- Fax
- (228) 285-0356
- NPI assigned
- Feb 7, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4730 Morris St
Moss Point, MS 39563-2838
Phone (228) 285-0361
Hospital & facility affiliations
- Singing River Health System
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180509002336 | MS | Practitioner - Nurse Practitioner | 4284998782 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 902266 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Care Center LLC | Nurse Practitioner | Current |
Accepting new patients |
| Professional Rehabilitation Hospital LLC | Past | Accepting new patients |
Locations
4730 Morris St
Moss Point, MS 39563
Phone (228) 285-0361
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 902266 | MS | |
| Family Nurse Practitioner | 363LF0000X | 902266 | MS | Yes |
Addresses
Primary practice location
4730 Morris St
Moss Point, MS 39563-2838
Mailing address
4730 Morris St
Moss Point, MS 39563-2838
Phone (228) 285-0361
Other names
- Kendra Burress Miller
Other providers in Moss Point, MS
- Paul S. Fineburg
- Steven B. Fineburg
- Gale Primary Care, LLC
- Tammy Jo Gale
- Crysta B Gardner
- GM Transportation, LLC
- Godfrey Therapy Services
- Angela S Godfrey
- Jessica Beth Goff
- Kathryn Elizabeth Goff
All providers in Moss Point, MS · Family Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.