Kairos Life and Wellness LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

KAIROS LIFE AND WELLNESS LLC

Practice address

2700 Braselton Hwy Ste 10-278
Dacula, GA 30019-3262

Phone

(678) 887-9315

NPI assigned

Jul 7, 2026

Organization subpart

No

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

Authorized official

Name

Lucy V Johnson, APRNNPI 1144049909

Title

Owner Provider

Phone

(678) 887-9315

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lucy Johnson

  • Psychiatric/Mental Health Nurse Practitioner
  • Dacula, GA
  • NPI 1144049909
  NPD (past) Authorized official

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

{
    "created_epoch": "1783382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783382400000",
    "number": "1013835271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 BRASELTON HWY STE 10-278",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300193262",
            "telephone_number": "678-887-9315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 BRASELTON HWY STE 10-278",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300193262",
            "telephone_number": "678-887-9315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAIROS LIFE AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-07",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LUCY",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER PROVIDER",
        "authorized_official_telephone_number": "678-887-9315",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Dacula, GA
• Providers in Dacula, GA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.