KANDI JOHNSON
NPI 1780551234
Nurse Practitioner - Family in Ridgeland, MS
About Kandi Johnson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KANDI JOHNSON (NPI 1780551234) is an individual family provider in Ridgeland, Mississippi, licensed in Mississippi (907716) and active in the NPI registry since October 2025. The provider is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kandi Johnson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39157 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RIDGELAND, MS 39157
RIDGELAND, MS 39157
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kandi Johnson's NPI number?
The NPI number for Kandi Johnson is 1780551234. It was assigned to this individual provider in the NPPES registry on October 20, 2025.
Where is Kandi Johnson located?
Kandi Johnson practices at 1612 E County Line Rd, Ridgeland, MS 39157. The listed phone number is (601) 429-1160.
What is Kandi Johnson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kandi Johnson enrolled in Medicare?
Yes. Kandi Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Kandi Johnson was last updated on October 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kandi Johnson · NPI 1780551234
Family physician in Ridgeland, Mississippi. Individual provider, active in the CMS NPPES registry since October 20, 2025.
## Identity
- **NPI:** 1780551234 (Entity type: Individual)
- **Enumerated:** October 20, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 907716 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 1612 E COUNTY LINE RD, Ridgeland, MS 39157-1906
- **Phone:** (601) 429-1160
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** October 20, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1780551234) · Data from the CMS NPPES public registry.