Active NPI
Kyai Forney
- Nurse Practitioner
- Meridian, MS
National Provider Identifier
1891642732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 908116
- Practice address
- 1314 19TH Ave
Meridian, MS 39301-4116 - Phone
- (601) 483-0011
- NPI assigned
- Mar 11, 2026
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 908116 | MS | Primary |
Addresses
Primary practice location
1314 19TH Ave
Meridian, MS 39301-4116
Mailing address
1314 19TH Ave
Meridian, MS 39301-4116
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260608002894 | MS | Practitioner - Nurse Practitioner | 0648741942 |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Suite 5392
Meridian, MS 39302
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 908116 | MS | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786492800000",
"number": "1891642732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1314 19TH AVE",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393014116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1314 19TH AVE",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393014116",
"telephone_number": "601-483-0011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORNEY",
"first_name": "KYAI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-03-11",
"last_updated": "2026-08-12",
"certification_date": "2026-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MS",
"license": "908116",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Meridian, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; 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.