Individual provider Active NPI

Kayla Barnett Ferguson, FNP-C

  • Family Nurse Practitioner
  • Kosciusko, MS
National Provider Identifier
1437624566
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
902733 Issued in MS
Practice address
332 Highway 12 W
Kosciusko, MS 39090-3209
Phone
(662) 289-1900
Fax
(662) 289-2486
NPI assigned
Oct 4, 2018
Last updated
Feb 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

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 902733 MS Primary

Addresses

Primary practice location

332 Highway 12 W
Kosciusko, MS 39090-3209

Mailing address

PO Box 23996
Jackson, MS 39225-3996
Phone (601) 206-6100

Other practice location 1

220 Highway 12 W
Kosciusko, MS 39090-3208
Phone (662) 290-3150

Other practice location 2

407 S Valley St
Carthage, MS 39051-4051
Phone (601) 298-0333

Other practice location 3

59 Montague St
Goodman, MS 39079-9011
Phone (662) 739-6040

Other practice location 4

530 Veterans Memorial Dr
Kosciusko, MS 39090-3858
Phone (662) 289-9155

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
I20181115002428 MS Practitioner - Nurse Practitioner 4183978885 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Attala Emergency Group LLCGroup PAC ID 5294984340, 13 clinicians

Practice addresses (Care Compare)

220 Hwy 12 W
Kosciusko, MS 39090-3208
Phone (662) 289-4311

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
902733MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
BMC - Attala, LLC CurrentSince Nov 9, 2022 Accepting new patients
Baptist Medical Center - Yazoo, Inc CurrentSince Nov 9, 2022 Accepting new patients
Baptist Medical Center-Leake, Inc. CurrentSince Nov 9, 2022 Accepting new patients
Baptist Medical Center-Leake, Inc Current Accepting new patients
Fast Pace Mississippi, PLLC Family CurrentSince Aug 15, 2019 Accepting new patients
Baptist Medical Center - Yazoo, Inc Current Accepting new patients
Baptist Medical Center - Yazoo, Inc CurrentSince Nov 9, 2022 Accepting new patients
Premier Medical Group of Mississippi LLC CurrentSince Feb 20, 2023 Accepting new patients
Fast Pace Mississippi, PLLC CurrentSince Aug 15, 2019 Accepting new patients
Premier Medical Group of Mississippi LLC PastSince Feb 19, 2023 Accepting new patients
Baptist Medical Center-Leake, Inc Past Accepting new patients
BMC - Attala, LLC Past Accepting new patients

Locations

1100 Highway 16 E
Carthage, MS 39051
Phone (601) 267-1100

115 Highway 16 W
Carthage, MS 39051
Phone (601) 298-3101

407 S Valley St
Carthage, MS 39051
Phone (601) 298-0333

59 Montague St
Goodman, MS 39079
Phone (662) 739-6040

616 Highway 82 W
Indianola, MS 38751
Phone (662) 635-8680

220 Highway 12 W
Kosciusko, MS 39090
Phone (662) 289-4311

332 Highway 12 W
Kosciusko, MS 39090
Phone (601) 206-6100

530 Veterans Memorial Dr
Kosciusko, MS 39090
Phone (662) 289-9155

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

823 Grand Ave
Yazoo City, MS 39194
Phone (601) 746-2261

Interoperability endpoints

  • Direct secure messaging: kayla.ferguson.1@27768.direct.athenahealth.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

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": "1538611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1437624566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23996",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392253996",
            "telephone_number": "601-206-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 HIGHWAY 12 W",
            "city": "KOSCIUSKO",
            "state": "MS",
            "postal_code": "390903209",
            "telephone_number": "662-289-1900",
            "fax_number": "662-289-2486"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 Highway 12 W",
            "address_purpose": "LOCATION",
            "city": "Kosciusko",
            "state": "MS",
            "postal_code": "390903208",
            "country_code": "US",
            "telephone_number": "662-290-3150",
            "fax_number": "662-290-3160",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "407 S Valley St",
            "address_purpose": "LOCATION",
            "city": "Carthage",
            "state": "MS",
            "postal_code": "390514051",
            "country_code": "US",
            "telephone_number": "601-298-0333",
            "fax_number": "601-298-0797",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "59 Montague St",
            "address_purpose": "LOCATION",
            "city": "Goodman",
            "state": "MS",
            "postal_code": "390799011",
            "country_code": "US",
            "telephone_number": "662-739-6040",
            "fax_number": "662-739-6041",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "530 Veterans Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Kosciusko",
            "state": "MS",
            "postal_code": "390903858",
            "country_code": "US",
            "telephone_number": "662-289-9155",
            "fax_number": "662-289-7752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "KAYLA",
        "middle_name": "BARNETT",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-04",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kosciusko, MS

Sources for this page

Verify at the official NPI Registry.