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

Kendrick R McCarty

Individual provider Family Nurse Practitioner · NPI 1649621368

Kendrick R McCarty is a Nurse Practitioner in Pascagoula, Mississippi. Qualified in 2016, 10 years ago. Accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
10
Licensed in
MS
In the registry since
2016
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Practice location Address checks out

2725 Andrew Ave
Pascagoula, MS 39567-1815
Phone: (228) 762-3993
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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 901588 (MS)

Record details

NPI number1649621368
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 23, 2016
Last updated in NPPESMarch 31, 2020
Certification dateMarch 31, 2020
Mailing addressPo Box 1810, Gulfport, MS 39502-1810

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Pascagoula