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Active NPI 1114403268 Individual Practitioner Female Practitioner

Katherine Puckett Ginn , NP

Nurse Practitioner • Jackson, MS

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Katherine Ginn, NP is a certified Nurse Practitioner practicing in Jackson, MS. With approximately 8 years of clinical experience since completing medical education in 2018, Katherine Ginn delivers high-quality medical care to the local community at 969 LAKELAND DR.

Katherine Ginn maintains professional affiliations with St. Dominic Medical Associates Llc, St. Dominic Jackson Memorial and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, x-ray of chest, 2 views, test to measure expiratory airflow and volume. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

969 Lakeland Dr

Jackson, MS 392164606

Telephone 6012002637
Associated Practice Facility / Clinic
🏢 Jpa Pathology, P.a. Facility NPI 1104824309

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Jackson, MS

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs -5.4 yrs vs City Avg
City Avg: 13.4 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
169 Specialists

Practicing in Jackson, MS (1098 Statewide)

Telehealth Adoption Rate
5.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
65.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ginn (8 Years) 8 Yrs
Jackson Specialty Average (13.4 Years) 13.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
84 81 $124.52 $98.89
71046 X-ray of chest, 2 views
64 62 $100.00 $19.74
94010 Test to measure expiratory airflow and volume
62 61 $140.00 $19.89
94726 Determination of lung volumes using plethysmography
49 49 $129.00 $39.93
94729 Test to examine how well the lungs exchange gases
48 48 $145.00 $41.35

Medical Specialties & State Licenses

CMS Verified: 2025-10-24
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MS 902808

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License MS 902808

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
08220070 (MS)
Commercial Insurance / Payer ID Railroad Medicare
P02359034 (MS)
Commercial Insurance / Payer ID Medicare
688710 (MS)

Hospital & Practice Group Affiliations

St. Dominic Medical Associates Llc

106 Highland Way, Madison, MS 391106933

St. Dominic Jackson Memorial

969 Lakeland Dr, Jackson, MS 392164606

Phone: 6013646175

St. Dominic Medical Associates Llc

969 Lakeland Dr, Jackson, MS 392164606

Phone: 6012003100

Secondary Practice Locations

970 Lakeland Dr Ste 49

Jackson, MS 392164634

Phone: 6012004850

1040 River Oaks Dr Ste 302

Flowood, MS 392329575

Phone: 6019399923

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Sara Meek , MSN, NP-C

Nurse Practitioner - Family

NPI 1669056941

Master of Science in Nursing, Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 24, 2025

Nurse Practitioner (License #902808 in MS)

📍
Updated Practice Location September 16, 2025

Registered at 969 LAKELAND DR, JACKSON, MS 392164606 (Tel: 6012002637)

📍
Updated Business Mailing Address September 16, 2025

Registered at 5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 708166038 (Tel: 6012002637)

📍
Updated Practice Location August 16, 2024

Registered at 1040 RIVER OAKS DR STE 302, FLOWOOD, MS 392329575 (Tel: 6019399923)

📍
Updated Business Mailing Address August 16, 2024

Registered at 1040 RIVER OAKS DR STE 302, FLOWOOD, MS 392329575 (Tel: 6019399923)

📍
Updated Business Mailing Address July 20, 2020

Registered at PO BOX 23457, JACKSON, MS 392253457 (Tel: 6012006897)

NPI Profile Active July 12, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location July 12, 2018

Registered at 969 LAKELAND DR, JACKSON, MS 392164606 (Tel: 6012002000)

📍
Updated Business Mailing Address July 12, 2018

Registered at 157 N MAPLE ST, RIDGELAND, MS 391572857 (Tel: 6015027743)

👤
Provider Name / Credentials Updated July 12, 2018

Recorded as KATHERINE GINN, N.P.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2018

Nurse Practitioner (License #902808 in MS)

🟢
Initial NPI Registration & Enumeration July 12, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114403268
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 12, 2018
Last Update: October 24, 2025
Sole Proprietor: No

Mailing Address

5959 S Sherwood Forest Blvd

Baton Rouge, LA 708166038

Phone: 6012002637

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.