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

Kandi Johnson

Individual provider Family Nurse Practitioner · NPI 1780551234

Kandi Johnson is a Nurse Practitioner in Ridgeland, Mississippi. Qualified in 2025, 1 year ago. Practices with Fast Pace Mississippi PLLC, a 189-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
1
Licensed in
MS
In the registry since
2025
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Practice location Address checks out

1612 E County Line Rd
Ridgeland, MS 39157-1906
Phone: (601) 429-1160
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 907716 (MS)

Record details

NPI number1780551234
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedOctober 20, 2025
Last updated in NPPESOctober 20, 2025
Certification dateOctober 20, 2025
Mailing address1612 E County Line Rd, Ridgeland, MS 39157-1906

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Fast Pace Mississippi Pllc — 189 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Ridgeland