Individual provider Active NPI

Kathleen H Hardin, MS

  • Diagnostic Radiology Physician
  • Vicksburg, MS
National Provider Identifier
1740360056
Registry record updated Mar 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
18489 Issued in MS
Practice address
2100 Highway 61 N
Vicksburg, MS 39183-8211
Phone
(601) 883-6832
NPI assigned
Oct 17, 2006
Last updated
Mar 11, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 18489 MS Primary

Addresses

Primary practice location

2100 Highway 61 N
Vicksburg, MS 39183-8211

Mailing address

PO Box 12870
Jackson, MS 39236-2870
Phone (601) 896-0019

Other identifiers 1

IdentifierTypeStateIssuer
P01227137OtherMSRAILROAD MCR PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, FL, GA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20050119000325 MS Practitioner - Diagnostic Radiology 0749239598 Reassigns benefits to 3 organizations
I20210910000395 FL Practitioner - Diagnostic Radiology 0749239598 Reassigns benefits to 1 organization
I20230130001244 GA Practitioner - Diagnostic Radiology 0749239598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Mississippi Medical College, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiological Group, PAGroup PAC ID 7810969607, 12 clinicians
Breast Center of Naples PLLCGroup PAC ID 1759781065, 2 clinicians

Practice addresses (Care Compare)

1012 D a Biglane Dr
Brookhaven, MS 39601-2331
Phone (601) 833-8157

2500 N State St
Jackson, MS 39216-4500
Phone (601) 815-4775

3555 Kraft Rd
Suite 350
Naples, FL 34105-5037
Phone (239) 238-1210

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.94 of 100Reported as group
Quality
67.75
Promoting interoperability
100
Improvement activities
40
Cost
71.17

Merit-based Incentive Payment System (MIPS)

Final score
92.5 of 100Reported as group
Quality
85
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Jun 1, 2012 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Jun 1, 2012 Accepting new patients
Radiological Group, PA CurrentSince Apr 16, 2024 Accepting new patients
Bca Georgia, LLC CurrentSince Dec 1, 2022 Accepting new patients
South Georgia Radiology Associates, LLC Diagnostic Radiology CurrentSince Nov 28, 2022 Accepting new patients
Breast Center of Naples PLLC Diagnostic Radiology CurrentSince Oct 1, 2021 Accepting new patients
Mississippi Hma Hospitalists, LLC Diagnostic Radiology Past Accepting new patients

Locations

3555 Kraft Rd
Unit 350
Naples, FL 34105
Phone (239) 238-1210

163 E Tollison St
Baxley, GA 31513
Phone (912) 367-9847

1850 N Columbia St
Ste 3
Milledgeville, GA 31061
Phone (478) 453-4101

710 N Irwin Ave
Ocilla, GA 31774
Phone (229) 468-3800

1012 D a Biglane Dr
Brookhaven, MS 39601
Phone (601) 833-8157

161 River Oaks Dr
Canton, MS 39046
Phone (601) 855-4000

965 Avent Dr
Ste 100A
Grenada, MS 38901
Phone (662) 227-7000

1225 N State St
Ste 2C
Jackson, MS 39202
Phone (601) 968-1000

1815 Hospital Dr
Jackson, MS 39204
Phone (601) 815-4775

1850 Chadwick Dr
Jackson, MS 39204
Phone (601) 376-1000

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

2500 N State St
Ste 2525
Jackson, MS 39216
Phone (601) 984-6441

239 Bowling Green Rd
Lexington, MS 39095
Phone (662) 834-1321

2100 Highway 61 N
Vicksburg, MS 39183
Phone (601) 883-5001

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: khardin697356@direct.bmhcc.org

Organizations & group practices 7

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 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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394496000000",
    "number": "1740360056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12870",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392362870",
            "telephone_number": "601-896-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 HIGHWAY 61 N",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391838211",
            "telephone_number": "601-883-6832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDIN",
        "first_name": "KATHLEEN",
        "middle_name": "H",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2014-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MS",
            "license": "18489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MCR PTAN",
            "identifier": "P01227137",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vicksburg, MS

Sources for this page

Verify at the official NPI Registry.