Active NPI
Kyla Kerr
- Psychiatric/Mental Health Nurse Practitioner
- Marietta, GA
National Provider Identifier
1366229288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- RN323636
- Practice address
- 3660 Canton Rd Ste 130
Marietta, GA 30066-2660 - Phone
- (678) 448-6570
- Fax
- (470) 523-2580
- NPI assigned
- Sep 13, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN323636 | GA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN323636 | GA | Primary |
Addresses
Primary practice location
3660 Canton Rd Ste 130
Marietta, GA 30066-2660
Mailing address
5150 Stilesboro Rd.
BLDG 100 Suite 100
Kennesaw, GA 30152
Phone (404) 932-1822
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN323636 | GA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sage and Serenity Psychiatry LLC | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
3660 Canton Rd
Ste 130
Marietta, GA 30066
Phone (678) 448-6570
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Marietta, GA
- NPI 1578414512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749513600000",
"number": "1366229288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5150 STILESBORO RD.",
"address_2": "BLDG 100 SUITE 100",
"city": "KENNESAW",
"state": "GA",
"postal_code": "30152",
"telephone_number": "404-932-1822",
"fax_number": "470-288-1428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3660 CANTON RD STE 130",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300662660",
"telephone_number": "678-448-6570",
"fax_number": "470-523-2580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERR",
"first_name": "KYLA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-13",
"last_updated": "2025-06-10",
"certification_date": "2025-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN323636",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "GA",
"license": "RN323636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.