NPIMap

Individual provider Active NPI

Kayla Marie Cooley, FNP-C

  • Family Nurse Practitioner
  • Sandersville, MS
National Provider Identifier
1003404732
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
904346 Issued in MS
Practice address
109 N Front St
Sandersville, MS 39477
Phone
(601) 490-7190
Fax
(601) 490-7191
NPI assigned
Jan 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 904346 MS Primary

Addresses

Primary practice location

109 N Front St
Sandersville, MS 39477

Mailing address

1032 Morriston Rd
Petal, MS 39465-9733
Phone (601) 410-3924

Other practice location 1

3115 Audubon Dr
Laurel, MS 39440-1913
Phone (601) 531-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210323000256 MS Practitioner - Nurse Practitioner 4183031966 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wiggins Primary CareGroup PAC ID 5890737019, 7 clinicians

Practice addresses (Care Compare)

975 Hall St
Wiggins, MS 39577-2107
Phone (601) 947-8181

Hospital & facility affiliations

  • George Regional Health System Hospital, Lucedale, MS, CCN 250036
  • Memorial Hospital at Gulfport Hospital, Gulfport, MS, CCN 250019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Laurel Pain Clinic PA CurrentSince Mar 5, 2021 Accepting new patients
Community Medical Center CurrentSince Aug 16, 2021 Accepting new patients
Inpatient Physician Services CurrentSince Aug 16, 2021 Accepting new patients
Wiggins Primary Care CurrentSince Aug 16, 2021 Accepting new patients
North Laurel Family Medicine, LLC CurrentSince May 4, 2026 Accepting new patients
George County Hospital Current Accepting new patients
Coastal Family Health Center, Inc CurrentSince Aug 12, 2021 Accepting new patients
Coastal Family Health Center, Inc CurrentSince Aug 12, 2021 Accepting new patients
Lakeland Radiologists P a PastSince Mar 5, 2021 Accepting new patients
George Regional Radiology PastSince Jan 1, 2021 Accepting new patients

Locations

715A Division St
Biloxi, MS 39530
Phone (228) 374-4991

1046 Division St
Biloxi, MS 39530
Phone (225) 374-2494

3115 Audubon Dr
Laurel, MS 39440
Phone (601) 425-4888

1706 W 12th St
Laurel, MS 39440
Phone (601) 369-2021

1710 W 12th St
Laurel, MS 39440
Phone (601) 369-2021

92 Ratliff St
#A
Lucedale, MS 39452
Phone (601) 947-4411

975 Hall St
Wiggins, MS 39577
Phone (601) 528-9119

Interoperability endpoints

  • Direct secure messaging: kaylacooley@grh.medalliesdirect.net
  • FHIR API: https://api.platform.athenahealth.com/22845/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kaylacooley@communitym.allscriptsdirect.net
  • Direct secure messaging: kayla.cooley.p1@direct.cfhc.nextgenshare.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IBHCBA

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 61

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 61

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1609977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1003404732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1032 MORRISTON RD",
            "city": "PETAL",
            "state": "MS",
            "postal_code": "394659733",
            "telephone_number": "601-410-3924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 N FRONT ST",
            "city": "SANDERSVILLE",
            "state": "MS",
            "postal_code": "39477",
            "telephone_number": "601-490-7190",
            "fax_number": "601-490-7191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3115 Audubon Dr",
            "address_purpose": "LOCATION",
            "city": "Laurel",
            "state": "MS",
            "postal_code": "394401913",
            "country_code": "US",
            "telephone_number": "601-531-2200",
            "fax_number": "601-531-2220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOLEY",
        "first_name": "KAYLA",
        "middle_name": "MARIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-07",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "904346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandersville, MS

Sources for this page

Verify at the official NPI Registry.