Individual provider Active NPI

Kayla Norman, FNP

  • Family Nurse Practitioner
  • Roberta, GA
National Provider Identifier
1164041927
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP220293 Issued in GA
Practice address
254 Wright Ave
Roberta, GA 31078
Phone
(229) 384-5576
Fax
(229) 384-5527
NPI assigned
Apr 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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 APRN-NP220293 GA Primary

Addresses

Primary practice location

254 Wright Ave
Roberta, GA 31078

Mailing address

254 Wright Ave
Roberta, GA 31078
Phone (229) 384-5576

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200922001408 GA Practitioner - Nurse Practitioner 9830517986 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN-NP220293GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Careconnect Health, Inc. CurrentSince Sep 17, 2020 Accepting new patients
Careconnect Health, Inc. CurrentSince Sep 17, 2020 Accepting new patients

Locations

130 N Lee St
Forsyth, GA 31029
Phone (478) 974-6080

510 Alston St
Ste B
Richland, GA 31825
Phone (229) 887-3324

254 Wright Ave
Roberta, GA 31078
Phone (229) 384-5576

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1586736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1164041927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 WRIGHT AVE",
            "city": "ROBERTA",
            "state": "GA",
            "postal_code": "31078",
            "telephone_number": "229-384-5576",
            "fax_number": "229-384-5527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 WRIGHT AVE",
            "city": "ROBERTA",
            "state": "GA",
            "postal_code": "31078",
            "telephone_number": "229-384-5576",
            "fax_number": "229-384-5527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORMAN",
        "first_name": "KAYLA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-13",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP220293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roberta, GA

Sources for this page

Verify at the official NPI Registry.