Individual provider Active NPI

Latoya Kiera Taylor-Cooper, NP

  • Family Nurse Practitioner
  • Ridgeland, MS
National Provider Identifier
1891500344
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
906838 Issued in MS
Practice address
7048 Old Canton Rd Ste 2E
Ridgeland, MS 39157-1021
Phone
(601) 992-9790
NPI assigned
Feb 11, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 906838 MS Primary

Addresses

Primary practice location

7048 Old Canton Rd Ste 2E
Ridgeland, MS 39157-1021

Mailing address

354 Valley Vista Dr
Jackson, MS 39211-3510
Phone (769) 233-4385

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
I20250407000161 MS Practitioner - Nurse Practitioner 0840714325 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Mississippi School of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Medical Consultants LLCGroup PAC ID 9830496314, 19 clinicians

Practice addresses (Care Compare)

108 Four Lane Hwy 49
Bentonia, MS 39040-9433
Phone (662) 998-8900

Hospital & facility affiliations

  • Sta Home Health Agency of Jackson, Inc. Dba Accentcare Home Health of Jackson Home health agency, Clinton, MS, CCN 257102
  • Mississippi Baptist Medical Center Hospital, Jackson, MS, CCN 250102

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Medical Consultants LLC CurrentSince Mar 1, 2025 Accepting new patients

Locations

108 Four LN Hwy 49
Bentonia, MS 39040
Phone (662) 998-8900

7048 Old Canton Rd
Ste 2E
Ridgeland, MS 39157
Phone (601) 919-0972

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1739232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1891500344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 VALLEY VISTA DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392113510",
            "telephone_number": "769-233-4385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7048 OLD CANTON RD STE 2E",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391571021",
            "telephone_number": "601-992-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR-COOPER",
        "first_name": "LATOYA",
        "middle_name": "KIERA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-11",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "906838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgeland, MS

Sources for this page

Verify at the official NPI Registry.