Kala White Wilson, CFNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R865872 Issued in MS

Practice address

724 Leigh Dr
Columbus, MS 39705-3098

Phone

(662) 328-3375

Fax

(662) 328-3395

NPI assigned

Feb 27, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Mrs. Kala Nicole Phillips Former name

Electronic endpoints 1

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, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bethany R Hairston MD 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

80.55 of 100Reported as group

Quality

61.09

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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 and National Provider Directory roles.

• Bethany R Hairston MD

  • Dermatology Physician
  • Columbus, MS
  • NPI 1982836037

  MS

  Medicare reassignment Care Compare group NPD
• Aqua Dermatology of Alabama PC

  • MOHS-Micrographic Surgery Physician
  • Vestavia HLS, AL
  • NPI 1477708642
  NPD
• Nephrology Associates, PC

  • Nephrology Physician
  • Columbus, MS
  • NPI 1811944432
  NPD (past)

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1376670570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 LEIGH DR",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397053098",
            "telephone_number": "662-328-3375",
            "fax_number": "662-328-3395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 LEIGH DR",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397053098",
            "telephone_number": "662-328-3375",
            "fax_number": "662-328-3395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KALA",
        "middle_name": "WHITE",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R865872",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R865872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN NP LICENSE NUMBER",
            "identifier": "R865872",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kwhite@directaddress.net",
            "affiliation": "N",
            "endpointDescription": "Kala White, CFNP",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "724 Leigh Dr",
            "city": "Columbus",
            "state": "MS",
            "country_code": "US",
            "postal_code": "397053098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KALA",
            "last_name": "PHILLIPS",
            "middle_name": "NICOLE",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lashander Williams
• Matthew Duane Williams, MD
• Stephen Williams, CRNA
• John Michael Williamson, DNP, FNP-C, ARM-BC
• Ellen Bell Wilson, APRN, FNP-C
• Tyrone Wilson
• Katherine Curtis Windham
• Windsor Place Nursing Center Inc
• Joseph Bingham Witty, Jr., M.D.
• James D Wiygul, DMD

• All providers in Columbus, MS
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.