Kyleigh McIlwain Shirah, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

904502 Issued in MS

Practice address

951 Matthew Dr Ste D
Waynesboro, MS 39367-2566

Phone

(601) 671-2795

Fax

(601) 735-4227

NPI assigned

Mar 3, 2021

Last updated

Mar 3, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kyleigh Alexis Odom Former name

Medicare fee-for-service enrollment

Enrolled in MS

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wayne General HospitalGroup PAC ID 2668457581, 47 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wayne General Hospital HHA Home health agency, Waynesboro, MS, CCN 257088
• Wayne General Hospital Hospital, Waynesboro, MS, CCN 250077

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Wayne General Hospital

  dba Wayne General Crna

  • Certified Registered Nurse Anesthetist
  • Waynesboro, MS
  • NPI 1093930638
  Medicare reassignment Care Compare group NPD
• Wayne General Hospital

  dba Waynesboro Family Medicine & Obstetrics

  • Rural Health Clinic/Center
  • Waynesboro, MS
  • NPI 1285882662
  NPD
• Wayne General Hospital

  dba Wayne General School Clinic

  • Rural Health Clinic/Center
  • Waynesboro, MS
  • NPI 1558963496
  NPD (past)
• Wayne General Hospsital

  dba Wayne General Ekg

  • Interventional Cardiology Physician
  • Waynesboro, MS
  • NPI 1902021546
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Wayne General Hospital

  dba Wayne General Home Health

  • Home Health Agency
  • Waynesboro, MS
  • NPI 1598787160
  Care Compare affiliation
• Wayne General Hospital

  • General Acute Care Hospital
  • Waynesboro, MS
  • NPI 1679559983
  Care Compare affiliation

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

{
    "created_epoch": "1614729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1306431135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 MATTHEW DR STE D",
            "city": "WAYNESBORO",
            "state": "MS",
            "postal_code": "393672566",
            "telephone_number": "601-671-2795",
            "fax_number": "601-735-4227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 MATTHEW DR STE D",
            "city": "WAYNESBORO",
            "state": "MS",
            "postal_code": "393672566",
            "telephone_number": "601-671-2795",
            "fax_number": "601-735-4227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "951 Matthew Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "MS",
            "postal_code": "393672566",
            "country_code": "US",
            "telephone_number": "601-735-2401",
            "fax_number": "601-735-5205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIRAH",
        "first_name": "KYLEIGH",
        "middle_name": "MCILWAIN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-03",
        "last_updated": "2021-03-03",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "904502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYLEIGH",
            "last_name": "ODOM",
            "middle_name": "ALEXIS",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Blain Rankin
• Michaela Reynolds, NP
• Peyton Lowery Rogers, NP
• Pamela Shanks, CCSS
• Ross Kelvin Sherman, M.D.
• Darrick Siew, M.D.
• Jatinder Singh, MD
• Bradley Scott Smith
• South Central Clinics, Inc (South Central Dermatology - Waynesboro)
• South Central Regional Medical Center (South Central Dermatology Clinic - Waynesboro)

• Family Nurse Practitioner in Waynesboro, MS
• Providers in Waynesboro, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.

Verify at the official NPI Registry.