Nikara Kilpatrick, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

3022 Issued in TN

Practice address

9140 Highway 51 N
Southaven, MS 38671-1233

Phone

(662) 280-8222

NPI assigned

Aug 28, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Saint Francis Physician Network, LLCGroup PAC ID 2365701943, 74 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: nikara.kilpatrick.1@16700.direct.athenahealth.com

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.

• Saint Francis Physician Network, LLC

  • Family Medicine Physician
  • Covington, TN
  • NPI 1295258002
  Medicare reassignment Care Compare group
• Phillip R. Bowden, M.D.,P.a.

  • Gastroenterology Physician
  • Memphis, TN
  • NPI 1932216389
  Medicare reassignment
• Healthcare Network Tennessee, Inc.

  • Neurological Surgery Physician
  • Memphis, TN
  • NPI 1932708054
  NPD (past)

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1134675465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9140 HIGHWAY 51 N",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386711233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9140 HIGHWAY 51 N",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386711233",
            "telephone_number": "662-280-8222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2986 Kate Bond Rd",
            "address_purpose": "LOCATION",
            "city": "Bartlett",
            "state": "TN",
            "postal_code": "381334003",
            "country_code": "US",
            "telephone_number": "901-820-7000",
            "fax_number": "901-820-7051",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5959 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381195200",
            "country_code": "US",
            "telephone_number": "901-765-1000",
            "fax_number": "901-765-1981",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1717 Kirby Pkwy Ofc Circle",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381204331",
            "country_code": "US",
            "telephone_number": "901-272-7200",
            "fax_number": "901-757-7573",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1417 Monroe Ave",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381043634",
            "country_code": "US",
            "telephone_number": "901-296-9400",
            "fax_number": "901-272-0820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KILPATRICK",
        "first_name": "NIKARA",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-28",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "3022",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MS",
            "license": "308",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shan Khan, D.O.
• Caroline Kidder
• Marcia W Kidder, P.T.
• Kidney Disease Consultants, P.C.
• Kimberly Rachelle Kilpatrick, RD, LD
• Chris Kim
• Lachasity Kimmons, FNP-C
• Mia Jaquay Kimmons, M.S. CCC-SLP
• Olivia Chonte King Deberry
• Shashelia Drewnette King

• Physician Assistant in Southaven, MS
• Providers in Southaven, MS by specialty
• Physician Assistant in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.

Verify at the official NPI Registry.