NPIMap

Individual provider Active NPI

Ashton Kyle Newman, FNP-C

  • Family Nurse Practitioner
  • Brookhaven, MS
National Provider Identifier
1578341459
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
906254 Issued in MS
Practice address
940 Brookway Blvd
Brookhaven, MS 39601-2644
Phone
(601) 823-5000
NPI assigned
Sep 20, 2023
Last updated
Oct 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 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 906254 MS Primary

Addresses

Primary practice location

940 Brookway Blvd
Brookhaven, MS 39601-2644

Mailing address

1189 Case Rd
Wesson, MS 39191-7625
Phone (769) 234-6363

Other practice location 1

1189 Case Rd
Wesson, MS 39191-7625
Phone (769) 234-6363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231109000712 MS Practitioner - Nurse Practitioner 4385091552 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kings Daughters Medical CenterGroup PAC ID 3072575539, 75 clinicians
KDMC Physician Clinics LLCGroup PAC ID 7012154495, 31 clinicians

Practice addresses (Care Compare)

427 Hwy 51 N
Brookhaven, MS 39601-2350
Phone (601) 833-6011

940 Brookway Blvd
Brookhaven, MS 39601-2644
Phone (601) 823-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
906254MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kings Daughters Medical Center Current Accepting new patients
KDMC Physician Clinics LLC CurrentSince Oct 26, 2023 Accepting new patients
King's Daughters Medical Center CurrentSince Oct 26, 2023 Accepting new patients
King's Daughters Medical Center CurrentSince Oct 26, 2023 Accepting new patients

Locations

427 Highway 51 N
Brookhaven, MS 39601
Phone (601) 833-6011

940 Brookway Blvd
Brookhaven, MS 39601
Phone (601) 823-5000

950 Brookway Blvd
Brookhaven, MS 39601
Phone (601) 833-7973

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6393/brand/1/csg/41/fhir/r4

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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": "1695168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1578341459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1189 CASE RD",
            "city": "WESSON",
            "state": "MS",
            "postal_code": "391917625",
            "telephone_number": "769-234-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 BROOKWAY BLVD",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396012644",
            "telephone_number": "601-823-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1189 Case Rd",
            "address_purpose": "LOCATION",
            "city": "Wesson",
            "state": "MS",
            "postal_code": "391917625",
            "country_code": "US",
            "telephone_number": "769-234-6363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "ASHTON",
        "middle_name": "KYLE",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-20",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "906254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookhaven, MS

Sources for this page

Verify at the official NPI Registry.