Kayla Thomas, FNP-BC – Family Nurse Practitioner

Key facts

NPI: 1609593763
Entity type: Individual (NPI type 1)
Primary specialty: Family Nurse Practitioner 363LF0000X
License: 905608 (MS)
Practice address: 192 College St
Shuqualak, MS 39361
Phone: (662) 361-9482
NPI assigned: Oct 20, 2022
Sex: Female
Sole proprietor: No

Organizations & group practices 3

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.

United Emergency Services of Mississippi Emergency Medicine Physician · Columbus, MS · NPI 1801983309

Medicare reassignment Care Compare group NPD MS
Fast Pace Mississippi, PLLC Rural Health Clinic/Center · Ripley, MS · NPI 1447769559

Medicare reassignment NPD FAMILY · MS
Fast Pace Mississippi, PLLC Rural Health Clinic/Center · Kosciusko, MS · NPI 1851050579

NPD

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Baptist Memorial Hospital - Golden Triangle Inc. General Acute Care Hospital · Columbus, MS · NPI 1609830173

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2022
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: United Emergency Services of Mississippi (12 clinicians)

Practice addresses (Care Compare)

2520 5TH St N
Columbus, MS 39705-2008
Phone (662) 244-1000

Hospital & facility affiliations

BMH-Golden Triangle Hospital · Columbus, MS · CCN 250100

Medicare participation

Medicare fee-for-service enrollment: Enrolled in MS
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20230216000977	MS	Practitioner - Nurse Practitioner	5496127656	Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
Fast Pace Mississippi, PLLC		Current since Feb 1, 2023	Accepting new patients
Fast Pace Mississippi, PLLC	Family	Current since Feb 1, 2023	Accepting new patients
United Emergency Services of Mississippi		Current since Dec 12, 2023	Accepting new patients

Locations

2520 5th St N
Columbus, MS 39705
Phone (662) 224-1000

517 City Ave S
Ripley, MS 38663
Phone (662) 587-8206

5713 Highway 45 Alt S
West Point, MS 39773
Phone (662) 854-9012

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Nurse Practitioner	363LF0000X	905608	MS	Yes

Addresses

Primary practice location

192 College St
Shuqualak, MS 39361

Mailing address

PO Box 96
Shuqualak, MS 39361-0096

Other names

Kayla Miller-Thomas Other name

Other providers in Shuqualak, MS

All providers in Shuqualak, MS · Family Nurse Practitioner in Mississippi

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 20, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.