Active NPI
Rakedra Ford, DNP, APRN, FNP-C
- Family Nurse Practitioner
- Canton, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 906934
- Practice address
- 1668 West Peace Street
P.O. Box 588
Canton, MS 39046 - Phone
- (601) 859-5213
- Fax
- (601) 859-8771
- NPI assigned
- Sep 30, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 906934 | MS | Primary |
| Family Nurse Practitioner | 363LF0000X | GAANP336869 | GA |
Addresses
Primary practice location
1668 West Peace Street
P.O. Box 588
Canton, MS 39046
Mailing address
125 Kendall LN
Crystal Springs, MS 39059-3217
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Baylor College of Medicine, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1668 W Peace St
Canton, MS 39046-5332
Phone (601) 859-5213
2292 Peachtree Rd
Atlanta, GA 30309-1147
Phone (404) 382-9941
2520 N Decatur Rd
Decatur, GA 30033-6117
Phone (678) 685-8100
326 Van Buren St
Canton, MS 39046-4737
Phone (601) 859-5213
3617 Roswell Nerd a
Atlanta, GA 30305-1111
Phone (404) 996-0196
364 Martin Luther King Dr
Canton, MS 39046-3654
Phone (601) 859-5213
529 Mace St
Canton, MS 39046-3319
Phone (601) 859-5213
572 Hank Aaron Dr
Suite 4200
Atlanta, GA 30312-2896
Phone (678) 535-0170
882 Ponce de Leon Ave
Atlanta, GA 30306-4268
Phone (770) 809-3034
P O Box
Suite 588
Canton, MS 39046-0588
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| GAANP336869 | GA | MD | Family Nurse Practitioner |
| 906934 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstreet of Georgia PC | Current | Accepting new patients | |
| G a Carmichael Family Health Center, Inc | Current | Accepting new patients | |
| G a Carmichael Family Health Center Inc | Current | Accepting new patients | |
| G a Carmichael Family Health Center Inc | Current | Accepting new patients | |
| G a Carmichael Family Health Center. Inc. | Past | Accepting new patients |
Locations
2292 Peachtree Rd NW
Atlanta, GA 30309
Phone (404) 382-9941
1825 Highway 34 E
Ste 1200
Newnan, GA 30265
Phone (770) 502-2121
16463 US Highway 49
Belzoni, MS 39038
Phone (662) 247-1252
10340 Highway 433 W
Bentonia, MS 39040
Phone (662) 755-2518
529 Mace St
Canton, MS 39046
Phone (601) 859-1028
1668 W Peace St
Canton, MS 39046
Phone (601) 859-0050
364 Martin Luther King Dr
Canton, MS 39046
Phone (601) 859-3578
303 W Franklin St
Carthage, MS 39051
Phone (601) 267-9658
1547 Jerry Clower Blvd
Yazoo City, MS 39194
Phone (662) 746-6531
1835 School Dr
Yazoo City, MS 39194
Phone (662) 716-0691
6789 Highway 49 Frontage Rd
Yazoo City, MS 39194
Phone (662) 746-6200
Interoperability endpoints
- rekedra.ford.p1@direct.gacfhc.nextgenshare.com
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- Canton, MS
- NPI 1801952809
-
- Urgent Care Clinic/Center
- Newnan, GA
- NPI 1235411547
-
- Federally Qualified Health Center (FQHC)
- Vaughan, MS
- NPI 1033276027
-
- Federally Qualified Health Center (FQHC)
- Greenwood, MS
- NPI 1932095718
-
- Federally Qualified Health Center (FQHC)
- Yazoo City, MS
- NPI 1548327463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761782400000",
"number": "1568280436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 KENDALL LN",
"city": "CRYSTAL SPRINGS",
"state": "MS",
"postal_code": "390593217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1668 WEST PEACE STREET",
"address_2": "P.O. BOX 588",
"city": "CANTON",
"state": "MS",
"postal_code": "39046",
"telephone_number": "601-859-5213",
"fax_number": "601-859-8771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "RAKEDRA",
"credential": "DNP, APRN, FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-30",
"last_updated": "2025-10-30",
"certification_date": "2025-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "906934",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "GAANP336869",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canton, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; 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.