Active NPI
Brook Leann Ponder, NP
- Family Nurse Practitioner
- Ridgeland, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 906153
- Practice address
- 1612 E County Line Rd
Ridgeland, MS 39157-1906 - Phone
- (931) 253-1110
- NPI assigned
- Aug 14, 2023
- Last updated
- Oct 29, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 906153 | MS | Primary |
Addresses
Primary practice location
1612 E County Line Rd
Ridgeland, MS 39157-1906
Mailing address
1612 E County Line Rd
Ridgeland, MS 39157-1906
Phone (931) 253-1110
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
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
Practice addresses (Care Compare)
1050 Hwy 98 Byp
Columbia, MS 39429-9190
Phone 93125311108053
1061 Hwy 35 S
Forest, MS 39074-4000
Phone (931) 253-1110
115 Hwy 16 W
Carthage, MS 39051-4240
Phone (931) 253-1110
2059 Hwy 61 N
Vicksburg, MS 39183-8227
Phone (601) 429-1144
2700 N Hills St
Meridian, MS 39305-2641
Phone (601) 685-3010
296 Eastside Dr
Newton, MS 39345-8036
Phone (601) 228-8985
50 Veterans Memorial Dr
Kosciusko, MS 39090-3424
Phone (662) 307-2884
517 City Ave S
Ripley, MS 38663-2517
Phone (662) 587-8206
760 Brookway Blvd
Brookhaven, MS 39601-2658
Phone (423) 662-7002
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 906153 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upperline Healthcare, PC | Current | Accepting new patients | |
| Fast Pace Mississippi, PLLC | Family | Current | Accepting new patients |
| Upperline Healthcare, PC | Current | Accepting new patients | |
| Fast Pace Mississippi, PLLC | Current | Accepting new patients | |
| Geriatric Connections, LLC | Family | Current | Accepting new patients |
Locations
7 Professional Pkwy
Ste 101
Hattiesburg, MS 39402
Phone (601) 781-1661
360 Simpson Highway 149
Ste 220
Magee, MS 39111
Phone (601) 849-1220
234 Magnolia Dr
Raleigh, MS 39153
Phone (601) 374-8145
1612 E County Line Rd
Ridgeland, MS 39157
Phone (601) 429-1160
517 City Ave S
Ripley, MS 38663
Phone (662) 587-8206
Organizations & group practices 6
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.
-
- Family Nurse Practitioner
- Raleigh, MS
- NPI 1992183800
-
- Rural Health Clinic/Center
- Kosciusko, MS
- NPI 1851050579
-
- Foot & Ankle Surgery Podiatrist
- Ocoee, FL
- NPI 1326906843
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761696000000",
"number": "1578346755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1612 E COUNTY LINE RD",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391571906",
"telephone_number": "931-253-1110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1612 E COUNTY LINE RD",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391571906",
"telephone_number": "931-253-1110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PONDER",
"first_name": "BROOK",
"middle_name": "LEANN",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-14",
"last_updated": "2025-10-29",
"certification_date": "2025-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "906153",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ridgeland, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.