Individual provider Active NPI

Patricia Kaylin Garner, APRN

  • Nurse Practitioner
  • Hattiesburg, MS
National Provider Identifier
1700586948
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
905872 Issued in MS
Practice address
1212 S 28TH Ave
Hattiesburg, MS 39402-2603
Phone
(601) 475-2430
Fax
(601) 475-2435
NPI assigned
Mar 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 905872 MS Primary

Addresses

Primary practice location

1212 S 28TH Ave
Hattiesburg, MS 39402-2603

Mailing address

1212 S 28TH Ave
Hattiesburg, MS 39402-2603
Phone (601) 475-2430

Other practice location 1

4297 Ms-42
Bassfield, MS 39421
Phone (601) 943-5060

Other practice location 2

6766 U S Highway 98
Hattiesburg, MS 39402-8443
Phone (601) 549-4877

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230322001566 MS Practitioner - Nurse Practitioner 6406220003 Reassigns benefits to 3 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
South Mississippi Neurosurgical Services, PLLCGroup PAC ID 3870870652, 2 clinicians

Practice addresses (Care Compare)

1212 S 28TH Ave
Hattiesburg, MS 39402-2603
Phone (601) 475-2430

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Midtown Medical and Aesthetics Current Accepting new patients
Pioneer Health Care , LLC CurrentSince Mar 13, 2023 Accepting new patients
South Mississippi Neurosurgical Services, PLLC CurrentSince Mar 1, 2023 Accepting new patients
Conx Care Corporation Past Accepting new patients

Locations

300 Cahal St
Hattiesburg, MS 39401
Phone (601) 582-9157

6766 U S Highway 98
Hattiesburg, MS 39402
Phone (601) 255-0010

1212 S 28th Ave
Hattiesburg, MS 39402
Phone (601) 475-2430

15 Keystone Dr
Ste E
Hattiesburg, MS 39402
Phone (601) 606-6326

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8276/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kgarner74061@directpatientrecord.com

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1678147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1700586948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 S 28TH AVE",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394022603",
            "telephone_number": "601-475-2430",
            "fax_number": "601-475-2435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 S 28TH AVE",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394022603",
            "telephone_number": "601-475-2430",
            "fax_number": "601-475-2435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4297 MS-42",
            "address_purpose": "LOCATION",
            "city": "Bassfield",
            "state": "MS",
            "postal_code": "39421",
            "country_code": "US",
            "telephone_number": "601-943-5060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6766 U S Highway 98",
            "address_purpose": "LOCATION",
            "city": "Hattiesburg",
            "state": "MS",
            "postal_code": "394028443",
            "country_code": "US",
            "telephone_number": "601-549-4877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARNER",
        "first_name": "PATRICIA",
        "middle_name": "KAYLIN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-07",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "905872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

Verify at the official NPI Registry.