Individual provider Active NPI

Kayla Nicole Wright, FNP

  • Family Nurse Practitioner
  • Dallas, GA
National Provider Identifier
1205448719
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
GAANP000078 Issued in GA
Practice address
105 Village Walk
Dallas, GA 30132-5504
Phone
(770) 800-6780
NPI assigned
Aug 18, 2020
Last updated
Nov 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 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 GAANP000078 GA Primary

Addresses

Primary practice location

105 Village Walk
Dallas, GA 30132-5504

Mailing address

105 Village Walk
Dallas, GA 30132-5504
Phone (770) 800-6780

Other identifiers 1

IdentifierTypeStateIssuer
1-152180OtherALALABAMA STATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://itiswellhealthcare.com/ Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20200914000459 AL Practitioner - Nurse Practitioner 7416375159 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
GAANP000078GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Immediate Care, LLC CurrentSince Sep 1, 2020 Accepting new patients
Keel and Associates CurrentSince Aug 1, 2020 Accepting new patients
It Is Well Healthcare, LLC PastSince Dec 6, 2020 Accepting new patients
It Is Well Healthcare, LLC PastSince Jan 17, 2021 Accepting new patients

Locations

4100 McClellan Blvd
Anniston, AL 36201
Phone (256) 235-2273

956 Gilbert Ferry Rd SE
Attalla, AL 35954
Phone (256) 344-0065

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17814/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/GBADCD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1205448719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 VILLAGE WALK",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301325504",
            "telephone_number": "770-800-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 VILLAGE WALK",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301325504",
            "telephone_number": "770-800-6780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "KAYLA",
        "middle_name": "NICOLE",
        "name_prefix": "Miss",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-18",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "GAANP000078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA STATE LICENSE",
            "identifier": "1-152180",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://itiswellhealthcare.com/",
            "affiliation": "N",
            "endpointDescription": "BUSINESS WEBSITE",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "105 Village Walk",
            "city": "Dallas",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301325504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, GA

Sources for this page

Verify at the official NPI Registry.