Active NPI
Kacy Ard, NP
- Psychiatric/Mental Health Nurse Practitioner
- Brandon, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 905042
- Practice address
- 501 Avalon Way Ste C
Brandon, MS 39047-7500 - Phone
- (601) 573-7012
- NPI assigned
- Dec 6, 2021
- Last updated
- Dec 6, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 905042 | MS | Primary |
Addresses
Primary practice location
501 Avalon Way Ste C
Brandon, MS 39047-7500
Mailing address
501 Avalon Way Ste C
Brandon, MS 39047-7500
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Mississippi School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1005 W Congress St
Brookhaven, MS 39601-2603
Phone (601) 833-9388
108 Four Lane Hwy 49
Bentonia, MS 39040-9433
Phone (662) 998-8900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridging Community With Healthcare, LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Strategic Solutions-Panola Medical Center LLC | Current | Accepting new patients | |
| Southern Medical Consultants LLC | Current | Accepting new patients | |
| Strategic Solutions-Panola Medical Center LLC | Current | Accepting new patients | |
| Strategic Solutions-Panola Medical Center LLC | Current | Accepting new patients |
Locations
255 Medical Center Dr
Batesville, MS 38606
Phone (662) 563-2163
303 Medical Center Dr
Batesville, MS 38606
Phone (662) 563-0155
108 Four LN Hwy 49
Bentonia, MS 39040
Phone (662) 998-8900
501 Avalon Way
Ste C
Brandon, MS 39047
Phone (601) 573-7012
1005 W Congress St
Brookhaven, MS 39601
Phone (601) 833-6333
1037 Highway 84 E
Brookhaven, MS 39601
Phone (601) 823-3221
7048 Old Canton Rd
Ste 2E
Ridgeland, MS 39157
Phone (601) 919-0972
Organizations & group practices 5
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.
-
dba Brookhaven Health and Wellness Center
- Primary Care Clinic/Center
- Brookhaven, MS
- NPI 1043627987
Psychiatric/Mental Health
-
- Primary Care Nurse Practitioner
- Ridgeland, MS
- NPI 1215396577
-
dba Panola Women's and Children's Clinic
- Rural Health Clinic/Center
- Batesville, MS
- NPI 1700349222
-
dba Panola Medical Center
- Rural Acute Care Hospital
- Batesville, MS
- NPI 1053873307
-
dba Panola Family and Specialty Clinic
- Rural Health Clinic/Center
- Batesville, MS
- NPI 1366905028
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638748800000",
"number": "1851059950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 AVALON WAY STE C",
"city": "BRANDON",
"state": "MS",
"postal_code": "390477500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 AVALON WAY STE C",
"city": "BRANDON",
"state": "MS",
"postal_code": "390477500",
"telephone_number": "601-573-7012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARD",
"first_name": "KACY",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-06",
"last_updated": "2021-12-06",
"certification_date": "2021-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MS",
"license": "905042",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brandon, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.