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
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Kandi Johnson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Ripley, MS 38663
- Reassigned Medicare billing, Mississippi enrollment
- 463 clinicians in this Medicare group
Hoover, AL 35216
- Reassigned Medicare billing, Mississippi enrollment
- 207 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Which organizations bill Medicare for Kandi Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kandi Johnson reassigns Medicare benefits to 2 organizations: Fast Pace Mississippi, PLLC (Ripley, MS) and Upperline Healthcare, PC (Hoover, AL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kandi Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kandi Johnson accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Kandi Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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 12 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
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Fast Pace Mississippi, PLLC (NPI 1447769559, Ripley, MS); Upperline Healthcare, PC (NPI 1538686498, Hoover, AL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** October 20, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1780551234) · Data from the CMS NPPES public registry.