Kathy Johnson, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R860364 Issued in MS

Practice address

24978 Ms Highway 15
Mathiston, MS 39752-6904

Phone

(662) 634-3089

Fax

(662) 634-3063

NPI assigned

Mar 7, 2006

Last updated

Dec 26, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Webster Urgent Care LLCGroup PAC ID 8729354055, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Choctaw Regional Medical Center Hospital, Ackerman, MS, CCN 251334
• Baptist Memorial Hospital-Oktibbeha County Hospital, Starkville, MS, CCN 250050

Merit-based Incentive Payment System (MIPS)

Final score

81.39 of 100Reported as group

Quality

65.98

Improvement activities

40

Cost

74.48

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: websterurgent@wu.azalea.phimailbox.com

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.

• Webster Urgent Care LLC

  • Urgent Care Clinic/Center
  • Mathiston, MS
  • NPI 1689197774
  Medicare reassignment Care Compare group NPD
• Webster Urgent Care Caledonia LLC

  • Urgent Care Clinic/Center
  • Caledonia, MS
  • NPI 1912893322
  NPD
• Webster Urgent Care LLC

  dba Webster Urgent Care, Houston

  • Urgent Care Clinic/Center
  • Houston, MS
  • NPI 1871169680
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Memorial Hosp Oktibbeha County Inc.

  • Rural Acute Care Hospital
  • Starkville, MS
  • NPI 1346112521
  Care Compare affiliation
• Choctaw Regional Medical Center

  • Critical Access Hospital
  • Ackerman, MS
  • NPI 1568879864
  Care Compare affiliation

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1346217502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24978 MS HIGHWAY 15",
            "city": "MATHISTON",
            "state": "MS",
            "postal_code": "397526904",
            "telephone_number": "662-634-3089",
            "fax_number": "662-634-3063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24978 MS HIGHWAY 15",
            "city": "MATHISTON",
            "state": "MS",
            "postal_code": "397526904",
            "telephone_number": "662-634-3089",
            "fax_number": "662-634-3063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "902 E Madison St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "MS",
            "postal_code": "388512415",
            "country_code": "US",
            "telephone_number": "662-567-5084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KATHY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-07",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R860364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007313421",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandywine Health Services of Mississippi, Inc (Mathiston Rural Health Clinic)
• Christensen Adult Daycare
• Dabbs Drugs LLC (Dabbs Pharmacy & Gifts)
• Kayla Nicole Dickerson
• Ashleigh Tindall Flora
• Robert Myers, FNP-C
• Olean Denise Pittman
• Webster County Schools
• Webster Family Practice
• Webster Urgent Care LLC

• Family Nurse Practitioner in Mathiston, MS
• Providers in Mathiston, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; 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.