Individual provider Active NPI

Kayla Ann McCoy, FNP

  • Nurse Practitioner
  • Hernando, MS
National Provider Identifier
1376388983
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
906671 Issued in MS
Practice address
1250 E Commerce St
Hernando, MS 38632-2456
Phone
(662) 298-2238
NPI assigned
Jun 26, 2024
Last updated
Jun 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 906671 MS Primary

Addresses

Primary practice location

1250 E Commerce St
Hernando, MS 38632-2456

Mailing address

1250 E Commerce St
Hernando, MS 38632-2456
Phone (662) 298-2238

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
I20240830000836 MS Practitioner - Nurse Practitioner 6507305893 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Redmed LLCGroup PAC ID 2961633656, 54 clinicians
Fast Pace Mississippi PLLCGroup PAC ID 3678832029, 192 clinicians

Practice addresses (Care Compare)

12 Brookes Xing
Pontotoc, MS 38863-1009
Phone (662) 489-4044

407 Interchange Dr
Fulton, MS 38843-6029
Phone (662) 205-5775

517 City Ave S
Ripley, MS 38663-2517
Phone (662) 587-8206

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
906671MSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Urgent Care of Corinth, LLC CurrentSince Jun 1, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Feb 7, 2026 Accepting new patients
Redmed, LLC CurrentSince Aug 5, 2024 Accepting new patients
Fast Pace Mississippi, PLLC Nurse Practitioner CurrentSince Feb 7, 2026 Accepting new patients
Upperline Healthcare, PC Nurse Practitioner CurrentSince Feb 7, 2026 Accepting new patients
Redmed, LLC CurrentSince Aug 5, 2024 Accepting new patients
Fast Pace Mississippi, PLLC CurrentSince Feb 7, 2026 Accepting new patients
Physicians Urgent Care of Corinth, LLC CurrentSince Jun 1, 2025 Accepting new patients

Locations

1002 N 2nd St
Booneville, MS 38829
Phone (662) 340-4375

2601 Getwell Rd
Ste 1
Corinth, MS 38834
Phone (662) 287-7138

1250 E Commerce St
Hernando, MS 38632
Phone (662) 298-2238

12 Brookes Crossing
Pontotoc, MS 38863
Phone (662) 489-4044

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1719360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1376388983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 E COMMERCE ST",
            "city": "HERNANDO",
            "state": "MS",
            "postal_code": "386322456",
            "telephone_number": "662-298-2238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E COMMERCE ST",
            "city": "HERNANDO",
            "state": "MS",
            "postal_code": "386322456",
            "telephone_number": "662-298-2238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "KAYLA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-26",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "906671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hernando, MS

Sources for this page

Verify at the official NPI Registry.