Active NPI
Kaitlin Johnson Hinton, FNP
- Nurse Practitioner
- Laurel, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 903779
- Practice address
- 307 S 13TH Ave
Laurel, MS 39440-4342 - Phone
- (601) 649-7600
- Fax
- (601) 649-7628
- NPI assigned
- Jul 1, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 903779 | MS | |
| Nurse Practitioner | 363L00000X | 903779 | MS | Primary |
Addresses
Primary practice location
307 S 13TH Ave
Laurel, MS 39440-4342
Mailing address
307 S 13TH Ave
Laurel, MS 39440-4342
Phone (601) 649-7600
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210226000601 | MS | Practitioner - Nurse Practitioner | 2163837097 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- South Central Clinics, Inc
Practice addresses (Care Compare)
1002 Jefferson St
Laurel, MS 39440-4306
1008 N 15TH Ave
Laurel, MS 39440-2656
Phone (601) 399-6169
1008 N 15TH St
OB/GYN Group of Laurel
Laurel, MS 39440-2656
Phone (601) 649-5421
1203 Ave B
Ellisville, MS 39437-2080
Phone (601) 477-2226
1203 Jefferson St
Laurel, MS 39440-4354
Phone (601) 649-2863
1410 Jefferson St
Laurel, MS 39440-4243
Phone (601) 425-7522
1420 Jefferson St
Laurel, MS 39440-4243
Phone (601) 649-6823
1430 Jefferson St
Laurel, MS 39440-4243
Phone (601) 425-2273
1440 Jefferson St
Laurel, MS 39440-4243
Phone (601) 649-6213
Hospital & facility affiliations
- South Central Reg Med Ctr
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 903779 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Central Clinics, Inc, | Current | Accepting new patients | |
| South Central Clinics, Inc | Current | Accepting new patients | |
| South Central Clinics, Inc | Current | Accepting new patients |
Locations
1203 B Ave
Ellisville, MS 39437
Phone (601) 477-8553
1430 Jefferson St
Laurel, MS 39440
Phone (601) 425-2273
Organizations & group practices 7
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.
-
- Rural Health Clinic/Center
- Laurel, MS
- NPI 1033903547
-
- Rural Health Clinic/Center
- Laurel, MS
- NPI 1316975394
-
- Rural Health Clinic/Center
- Laurel, MS
- NPI 1669609111
-
- Rural Health Clinic/Center
- Laurel, MS
- NPI 1861037749
-
- Rural Health Clinic/Center
- Ellisville, MS
- NPI 1427098003
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Laurel, MS
- NPI 1598017196
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Laurel, MS
- NPI 1619973542
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612137600000",
"number": "1568089977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 S 13TH AVE",
"city": "LAUREL",
"state": "MS",
"postal_code": "394404342",
"telephone_number": "601-649-7600",
"fax_number": "601-649-7628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 S 13TH AVE",
"city": "LAUREL",
"state": "MS",
"postal_code": "394404342",
"telephone_number": "601-649-7600",
"fax_number": "601-649-7628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINTON",
"first_name": "KAITLIN",
"middle_name": "JOHNSON",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-01",
"last_updated": "2021-02-01",
"certification_date": "2021-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "903779",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MS",
"license": "903779",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laurel, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.