Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kamario Granger, FNP

Individual provider Family Nurse Practitioner · NPI 1841862729

Kamario Granger, FNP is a Nurse Practitioner in Waynesboro, Mississippi. Qualified in 2020, 6 years ago. Practices with Fast Pace Mississippi PLLC, a 189-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Louisiana and Mississippi.

Years since qualifying
6
Licensed in
LA, MS
In the registry since
2021
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

1008 Azalea Dr
Waynesboro, MS 39367-2499
Phone: (601) 509-2584
Fax: (601) 509-2585
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 64410 Highway 41, Pearl River, LA 70452-3606 — (985) 256-4712

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 904632 (MS)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 220985 (LA)

Record details

NPI number1841862729
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorYes
NPI enumeratedJuly 12, 2021
Last updated in NPPESApril 5, 2022
Certification dateApril 5, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Fast Pace Mississippi Pllc — 189 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations11 on file with Medicare

Other providers in Waynesboro