Active NPI
Kayla Marie Neely Price
- Family Nurse Practitioner
- Valdosta, GA
National Provider Identifier
1124793377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN238925
- Practice address
- 3541 N Crossing Cir
Valdosta, GA 31602-1019 - Phone
- (229) 244-4200
- NPI assigned
- Aug 10, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN238925 | GA | Primary |
Addresses
Primary practice location
3541 N Crossing Cir
Valdosta, GA 31602-1019
Mailing address
3541 N Crossing Cir
Valdosta, GA 31602-1019
Phone (229) 539-8280
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210901001392 | GA | Practitioner - Nurse Practitioner | 4082010913 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AGHCDD/Endpoint/AGHCDD
Organizations & group practices 1
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 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Thomasville, GA
- NPI 1194779702
Hospital
-
- Rehabilitation Hospital Unit
- Thomasville, GA
- NPI 1104867738
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Nightingale Clinic, PC
Practice addresses (Care Compare)
606 W Screven St
Quitman, GA 31643-1922
Phone (229) 263-8888
Hospital & facility affiliations
- Archbold Brooks
- Archbold Memorial Hospital
- SGMC Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629936000000",
"number": "1124793377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3541 N CROSSING CIR",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316021019",
"telephone_number": "229-539-8280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3541 N CROSSING CIR",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316021019",
"telephone_number": "229-244-4200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICE",
"first_name": "KAYLA",
"middle_name": "MARIE NEELY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-10",
"last_updated": "2021-08-26",
"certification_date": "2021-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN238925",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valdosta, GA
- Premier Interventional Pain Management & Anesthesiology, P.a.
- Premise Health of Georgia Medical PC
- Premise Health of Georgia Medical PC
- Catherine Ann Price, PMHNP-BC
- Jennifer Paige Price, PHARMD
- Spencer Price, MD
- Pridgen Chiropractic & Wellness Center PC
- Leo David Pridgen Jr., CHIORPRACTIC
- Wanda Pritchett
- Private Healthcare Facilities
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; 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.