Krystal Anne Fail

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN213761 Issued in GA

Practice address

421 Page Place Rd
Statesboro, GA 30458-9050

Phone

(912) 259-9619

Fax

(912) 259-9618

NPI assigned

Jul 16, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Group practices

Yurhealth LLCGroup PAC ID 6901263151, 7 clinicians

Thrive Health and Wellness LLCGroup PAC ID 0749665644, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15525/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir4.healow.com/fhir/r4/HGJICD/Endpoint/HGJICD
• FHIR API: https://fhir4.healow.com/fhir/r4/FBIBDD

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.

• Thrive Health and Wellness LLC

  • Family Medicine Physician
  • Statesboro, GA
  • NPI 1629704002
  Medicare reassignment Care Compare group NPD
• Yurhealth, LLC

  • Family Medicine Physician
  • Millen, GA
  • NPI 1104520477
  Medicare reassignment Care Compare group NPD
• Yurhealth, LLC

  • Family Medicine Physician
  • Baxley, GA
  • NPI 1316756927
  NPD

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

{
    "created_epoch": "1626393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1073185153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 N CLARK ST",
            "city": "CLAXTON",
            "state": "GA",
            "postal_code": "304171516",
            "telephone_number": "912-531-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 PAGE PLACE RD",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304589050",
            "telephone_number": "912-259-9619",
            "fax_number": "912-259-9618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIL",
        "first_name": "KRYSTAL",
        "middle_name": "ANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-16",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN213761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Evans, PA-C
• Everside Health Sti-Stateboro
• Eyemart Express LLC
• Eyes on Georgia LLC
• Uchechukwu P Ezeigwe, MD
• Doris Brazell Fair
• Family Eye Care of Georgia, LLC
• Family Foot Care of Statesboro
• Family Health Care Center, PC
• Family Podiatry Center PC

• Family Nurse Practitioner in Statesboro, GA
• Providers in Statesboro, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.