Organization Active NPI

Kairovia Mental Health LLC

  • Clinical Social Worker
  • Columbus, GA
National Provider Identifier
1063359016
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
KAIROVIA MENTAL HEALTH LLC
Practice address
4519 Woodruff Rd
Columbus, GA 31904-6011
Phone
(706) 250-0530
NPI assigned
Apr 29, 2026
Last updated
Apr 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Authorized official

Name
Shanakay OsbourneNPI 1861076259
Title
Owner
Phone
(706) 250-0530

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

4519 Woodruff Rd
Columbus, GA 31904-6011

Mailing address

4519 Woodruff Rd Ste 4
Columbus, GA 31904-6096

National Provider Directory

National Provider Directory

Locations

4519 Woodruff Rd
Ste 4
Columbus, GA 31904
Phone (706) 480-3490

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1777420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777420800000",
    "number": "1063359016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4519 WOODRUFF RD STE 4",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319046096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4519 WOODRUFF RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319046011",
            "telephone_number": "706-250-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAIROVIA MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-29",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A",
        "authorized_official_last_name": "OSBOURNE",
        "authorized_official_first_name": "SHANAKAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-250-0530"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.