Individual provider Active NPI

Micah Anthony Ladner, FNP-C

  • Family Nurse Practitioner
  • Diamondhead, MS
National Provider Identifier
1285187930
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
901609 Issued in MS
Practice address
4402 E Aloha Dr
Suite 15
Diamondhead, MS 39525-3349
Phone
(228) 364-9001
NPI assigned
Jul 29, 2016
Last updated
Nov 16, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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 901609 MS Primary

Addresses

Primary practice location

4402 E Aloha Dr
Suite 15
Diamondhead, MS 39525-3349

Mailing address

1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-4000

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
I20170410001168 MS Practitioner - Nurse Practitioner 0749566511 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ochsner Mississippi, LLCGroup PAC ID 0143580993, 98 clinicians

Practice addresses (Care Compare)

4540 Shepherd SQ
Diamondhead, MS 39525-3325
Phone (228) 255-8216

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
901609MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gulfport 49 Imaging, LLC CurrentSince May 9, 2021 Accepting new patients
Hattiesburg Urgent Care, LLC CurrentSince Jun 17, 2017 Accepting new patients
Pascagoula Urgent Care CurrentSince Jun 17, 2017 Accepting new patients
Ochsner Mississippi, LLC CurrentSince Nov 17, 2022 Accepting new patients
Pioneer Health Care , LLC CurrentSince Jul 1, 2017 Accepting new patients
Ochsner Mississippi, LLC CurrentSince Nov 17, 2022 Accepting new patients
Orange Grove Urgent Care CurrentSince Nov 8, 2017 Accepting new patients
Conx Care Corporation Past Accepting new patients

Locations

1514 Jefferson Hwy
New Orleans, LA 70121

149 Drinkwater Rd
Bay St Louis, MS 39520
Phone (228) 467-8600

4402 E Aloha Dr
Diamondhead, MS 39525
Phone (228) 364-9001

4402 E Aloha Dr
Ste 15
Diamondhead, MS 39525
Phone (228) 222-5060

4402 E Aloha Dr
Ste 16
Diamondhead, MS 39525
Phone (228) 364-9001

4540 Shepherd Sq
Diamondhead, MS 39525
Phone (228) 255-8216

10556 Highway 49
Gulfport, MS 39503
Phone (228) 539-2399

15 Keystone Dr
Ste E
Hattiesburg, MS 39402
Phone (601) 606-6326

300 Cahal St
Hattiesburg, MS 39401
Phone (601) 582-9157

6101 U S Highway 49
Hattiesburg, MS 39401
Phone (601) 909-6240

1514 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 382-9222

2210 Denny Ave
Pascagoula, MS 39567
Phone (228) 372-6040

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8276/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mladner1655840@direct.ochsner.org

Organizations & group practices 10

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 2

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": "1469750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1285187930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 JEFFERSON HWY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701212429",
            "telephone_number": "504-842-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4402 E ALOHA DR",
            "address_2": "SUITE 15",
            "city": "DIAMONDHEAD",
            "state": "MS",
            "postal_code": "395253349",
            "telephone_number": "228-364-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LADNER",
        "first_name": "MICAH",
        "middle_name": "ANTHONY",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-29",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "901609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Diamondhead, MS

Sources for this page

Verify at the official NPI Registry.