Individual provider Active NPI

Kajuandra Chandler-McDuffy, NP

  • Family Nurse Practitioner
  • Canton, MS
National Provider Identifier
1740655091
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
20927 Issued in TN
Practice address
1668 W Peace St
Canton, MS 39046-5332
Phone
(601) 859-5213
Fax
(601) 859-8771
NPI assigned
Dec 10, 2015
Last updated
Dec 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 20927 TN Primary
Family Nurse Practitioner 363LF0000X 901379 MS

Addresses

Primary practice location

1668 W Peace St
Canton, MS 39046-5332

Mailing address

1668 W Peace St
Canton, MS 39046-5332
Phone (601) 859-5213

Other identifiers 3

IdentifierTypeStateIssuer
6S4720OtherMSMEDICARE
0009010018MedicaidMS
Q019941MedicaidTN

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
I20170601001452 MS Practitioner - Nurse Practitioner 0840580510 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

110 N Jerry Clower Blvd
Yazoo City, MS 39194-5144
Phone (601) 859-5213

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
901379MSMDFamily Nurse Practitioner
20927TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
G a Carmichael Family Health Center Inc CurrentSince Jun 3, 2024 Accepting new patients
North Sunflower Medical Center Current Accepting new patients
G a Carmichael Family Health Center Inc Current Accepting new patients
Oasis Home Medical Visits Family Current Accepting new patients
G a Carmichael Family Health Center, Inc CurrentSince Jun 3, 2024 Accepting new patients
Spinal Health Care Associates, P.C. PastSince Aug 11, 2009 Accepting new patients
G a Carmichael Family Health Center. Inc. Past Accepting new patients

Locations

1668 W Peace St
Canton, MS 39046
Phone (601) 859-0050

840 N Oak Ave
Ruleville, MS 38771
Phone (601) 756-2711

110 N Jerry Clower Blvd
Yazoo City, MS 39194

1547 Jerry Clower Blvd
Yazoo City, MS 39194
Phone (662) 746-6531

Interoperability endpoints

  • Direct secure messaging: kajuandra.chandler.p1@direct.gacfhc.nextgenshare.com
  • Direct secure messaging: kajuandrachandler@nsfmc.allscriptsdirect.net
  • Direct secure messaging: kchandler@thel-ms.direct.office.nextgen.com

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": "1449705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1740655091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1668 W PEACE ST",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390465332",
            "telephone_number": "601-859-5213",
            "fax_number": "601-859-8771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1668 W PEACE ST",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390465332",
            "telephone_number": "601-859-5213",
            "fax_number": "601-859-8771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDLER-MCDUFFY",
        "first_name": "KAJUANDRA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-10",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "20927",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "901379",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "6S4720",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009010018",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q019941",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MS

Sources for this page

Verify at the official NPI Registry.