Individual provider Active NPI

Rakedra Ford, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Canton, MS
National Provider Identifier
1568280436
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
906934 Issued in MS
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

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241111002780 MS Practitioner - Nurse Practitioner 3072047273 Reassigns benefits to 1 organization
I20250718003728 GA Practitioner - Nurse Practitioner 3072047273 Reassigns benefits to 1 organization

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
G a Carmichael Family Health Center, Inc.Group PAC ID 2567371032, 23 clinicians
Wellstreet of Georgia PCGroup PAC ID 7517126279, 425 clinicians

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

LicenseStateTypeSpecialty
GAANP336869GAMDFamily Nurse Practitioner
906934MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstreet of Georgia PC CurrentSince Jul 3, 2025 Accepting new patients
G a Carmichael Family Health Center, Inc CurrentSince Oct 21, 2024 Accepting new patients
G a Carmichael Family Health Center Inc CurrentSince Oct 21, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.