Individual provider Active NPI

Catherine Danielle Garner-Kuada, M.D.

  • Family Medicine Physician
  • Jackson, MS
National Provider Identifier
1306911797
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD.206740 Issued in LA
Practice address
1809 Marshall PL
Jackson, MS 39213
Phone
(601) 981-3004
Fax
(601) 510-2105
NPI assigned
Nov 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 18317 MS
Family Medicine Physician 207Q00000X MD.206740 LA Primary

Addresses

Primary practice location

1809 Marshall PL
Jackson, MS 39213

Mailing address

1809 Marshall PL
Jackson, MS 39213-5119
Phone (601) 981-3004

Other identifiers 1

IdentifierTypeStateIssuer
09684292MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140804000291 LA Practitioner - Family Practice 1557391521 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Warren Alpert Medical School of Brown University, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HIV-AIDS Alliance for Region TwoGroup PAC ID 4880981158, 18 clinicians

Practice addresses (Care Compare)

3801 N Blvd
Baton Rouge, LA 70806-3825
Phone (225) 655-6422

Hospital & facility affiliations

  • Baton Rouge General Medical Center Hospital, Baton Rouge, LA, CCN 190065

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.206740LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinton Wellness Center LLC Family Medicine Past Accepting new patients
Voice of Calvary Family Health Center Inc Past Accepting new patients

Organizations & group practices 3

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.

Hospital & facility affiliations 6

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": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534464000000",
    "number": "1306911797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 MARSHALL PL",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392135119",
            "telephone_number": "601-981-3004",
            "fax_number": "601-510-2105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 MARSHALL PL",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39213",
            "telephone_number": "601-981-3004",
            "fax_number": "601-510-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARNER-KUADA",
        "first_name": "CATHERINE",
        "middle_name": "DANIELLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2018-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "18317",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD.206740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09684292",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.