Individual provider Active NPI

Kacy Ard, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Brandon, MS
National Provider Identifier
1851059950
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
905042 Issued in MS
Practice address
501 Avalon Way Ste C
Brandon, MS 39047-7500
Phone
(601) 573-7012
NPI assigned
Dec 6, 2021
Last updated
Dec 6, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220518000834 MS Practitioner - Nurse Practitioner 5395122030 Reassigns benefits to 3 organizations

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
Bridging Community With Healthcare, LLCGroup PAC ID 9537380944, 12 clinicians
Southern Medical Consultants LLCGroup PAC ID 9830496314, 19 clinicians

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

OrganizationSpecialtyStatusNew patients
Bridging Community With Healthcare, LLC Psychiatric/Mental Health CurrentSince Aug 22, 2024 Accepting new patients
Strategic Solutions-Panola Medical Center LLC CurrentSince Jan 1, 2023 Accepting new patients
Southern Medical Consultants LLC CurrentSince Mar 1, 2022 Accepting new patients
Strategic Solutions-Panola Medical Center LLC CurrentSince Jan 1, 2023 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.

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

Verify at the official NPI Registry.