Klaye Clardy, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

901638 Issued in MS

Practice address

104 Burney Dr
Flowood, MS 39232-6621

Phone

(601) 987-8200

NPI assigned

Jun 15, 2016

Last updated

Sep 11, 2019By 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

Other names 1

• Klaye Chambliss Former name

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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Capital Orthopaedic Clinic, PLLCGroup PAC ID 0941215255, 49 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Merit Health River Oaks Hospital, Flowood, MS, CCN 250138
• St Dominic-Jackson Memorial Hospital Hospital, Jackson, MS, CCN 250048

Merit-based Incentive Payment System (MIPS)

Final score

90.17 of 100Reported as group

Quality

82.12

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Capital Orthopaedic Clinic, PLLC

  dba Capital Orthopaedic & Sports Medicine Center

  • Orthopaedic Surgery Physician
  • Flowood, MS
  • NPI 1770687881
  Medicare reassignment Care Compare group NPD
• Capital Orthopaedic Clinic PLLC

  • Orthopedic Physical Therapist
  • Flowood, MS
  • NPI 1184299273
  NPD
• Capital Orthopedic Clinic PLLC

  • Orthopaedic Surgery Physician
  • Flowood, MS
  • NPI 1215988787
  NPD (past)
• Jackson Ear Clinic PA

  • Specialist
  • Flowood, MS
  • NPI 1093934002
  NPD (past)

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

• River Oaks Hospital LLC

  dba Merit Health River Oaks

  • General Acute Care Hospital
  • Flowood, MS
  • NPI 1396792032
  Care Compare affiliation
• St Dominic-Jackson Memorial Hospital

  • General Acute Care Hospital
  • Jackson, MS
  • NPI 1306876065
  Care Compare affiliation

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1396195848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30594",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282300594",
            "telephone_number": "601-987-8200",
            "fax_number": "601-987-8211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 BURNEY DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392326621",
            "telephone_number": "601-987-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARDY",
        "first_name": "KLAYE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-15",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "901638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03101367",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KLAYE",
            "last_name": "CHAMBLISS",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Russell W Chisolm, PHARMD
• Christina L. Dial, D.O. PLLC (Breast Care Clinic of Jackson)
• Laura House Christopher, M.D.
• Steven Cialone, PT, DPT
• Claire Logan, DDS, PLLC (Family Dental Care)
• Kathryn Clark, PHARM.D.
• Kevin Grafton Clark, O.D., P.A.
• Lacey Green Clark
• Lindsey W Clark, PHARMD
• Marcy S Clarke, NNP

• Family Nurse Practitioner in Flowood, MS
• Providers in Flowood, 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 Sep 11, 2019; 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.