Kara L Brantley, M.D.
Individual provider Active NPI Obstetrics & Gynecology Physician · Jackson, MS
NPI 1720181530 · NPPES record last updated Dec 4, 2018
Key facts
- NPI
- 1720181530
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 16466 (MS)
- Practice address
- 1020 River Oaks Dr Ste 310
Jackson, MS 39232-9512 - Phone
- (601) 932-5006
- Fax
- (601) 932-4548
- NPI assigned
- Sep 7, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- University of Mississippi School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southern Women'S Health, PLLC
Practice addresses (Care Compare)
1020 River Oaks Dr
Flowood, MS 39232-9512
2610 S Lamar Blvd
Oxford, MS 38655-5243
Phone (662) 234-1731
Hospital & facility affiliations
- Merit Health Women'S Hospital
- Merit Health River Oaks
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: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051006000443 | MS | Practitioner - Obstetrics/Gynecology | 0345265617 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16466 | MS | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Women'S Health, PLLC | Obstetrics & Gynecology | Current |
Accepting new patients |
| Oxford Clinic for Women, PLLC | Current | Accepting new patients | |
| Southern Women'S Health, PLLC | Current |
Accepting new patients | |
| River Oaks Hospital LLC | Past | Accepting new patients |
Locations
1020 River Oaks Dr
Ste 310
Jackson, MS 39232
Phone (601) 352-5030
2610 S Lamar Blvd
Oxford, MS 38655
Phone (601) 932-5006
Interoperability endpoints
- kara.brantley.1@28954.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 16466 | MS | Yes |
Addresses
Primary practice location
1020 River Oaks Dr Ste 310
Jackson, MS 39232-9512
Mailing address
1020 River Oaks Dr
Ste 310
Flowood, MS 39232-9512
Phone (601) 932-5006
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00125825 | Medicaid | MS |
Other providers in Jackson, MS
- Janice Bradshaw
- Akshar Brahmbhatt
- Robert1 K Branch
- Shena L Branley
- James Wallace Brantley Jr.
- Leigh Allyson Brantley
- Terry Keith Brantley
- Himmat Singh Brar
- Michael Lucas Brasel
- Hannah Elizabeth Bratcher
All providers in Jackson, MS · Obstetrics & Gynecology Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2018. 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.