Kiara Gildersleeve Johns, CRNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Monroeville, AL
NPI 1447798558 · NPPES record last updated Jun 4, 2025
Key facts
- NPI
- 1447798558
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 1-140289 (AL)
- Practice address
- PO Box 612
Monroeville, AL 36461-0612 - Phone
- (251) 575-1234
- Fax
- (251) 200-4579
- NPI assigned
- Feb 9, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in TN, FL, NC, AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180215001196 | TN | Practitioner - Nurse Practitioner | 3870853682 | Reassigns benefits to 1 organization |
| I20230227000949 | FL | Practitioner - Nurse Practitioner | 3870853682 | Reassigns benefits to 1 organization |
| I20250107003956 | NC | Practitioner - Nurse Practitioner | 3870853682 | Reassigns benefits to 1 organization |
| I20250602003487 | AL | Practitioner - Nurse Practitioner | 3870853682 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| GAA-NP000887 | GA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Community Health Centers Inc | Current | Accepting new patients | |
| Scotland Memorial Hospital Inc | Current |
Accepting new patients | |
| Florida Community Health Centers Inc | Current |
Accepting new patients | |
| Florida Community Health Centers Inc | Current |
Accepting new patients | |
| Florida Community Health Centers Inc | Current | Accepting new patients | |
| Perry County Medical Center Inc | Current |
Accepting new patients | |
| Scotland Memorial Hospital Inc | Psychiatric/Mental Health | Current |
Accepting new patients |
| Florida Community Health Centers Inc | Current | Accepting new patients | |
| Perry County Medical Center, Inc. | Current |
Accepting new patients | |
| Perry County Medical Center, Inc. | Past |
Accepting new patients | |
| Harris Family Practice PLLC | Past | Accepting new patients | |
| Family Ties Inc. | Past | Accepting new patients |
Locations
315 S W C Owen Ave
Clewiston, FL 33440
Phone (561) 996-9573
1505 Delaware Ave
Fort Pierce, FL 34950
Phone (772) 461-1140
15858 SW Warfield Blvd
Indiantown, FL 34956
Phone (772) 597-3596
1021 Health Park Dr
Moore Haven, FL 33471
Phone (863) 946-0405
1100 N Parrott Ave
Okeechobee, FL 34972
Phone (863) 763-1951
5827 Corporate Way
West Palm Beach, FL 33407
Phone (561) 844-9443
500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227
115 E Brooklyn St
Linden, TN 37096
Phone (615) 589-2104
7723 Clearview Church Ln
Ste 100
Lyles, TN 37098
Phone (931) 670-5520
Interoperability endpoints
- kjohns2926954@carolinashealthcaresystem.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | GAA-NP000887 | GA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN11004804 | FL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 23424 | TN | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1-140289 | AL | Yes |
Addresses
Primary practice location
PO Box 612
Monroeville, AL 36461-0612
Mailing address
PO Box 612
Monroeville, AL 36461-0612
Other practice location 1
1230 3rd Ave S
Birmingham, AL 35233-1311
Phone (205) 454-8420
Other practice location 2
270 Carpenter Dr Ste 400
Sandy Springs, GA 30328-4933
Phone (678) 460-0345
Other practice location 3
3022 Vanderbilt Pl
Nashville, TN 37212-2500
Phone (615) 393-3792
Other practice location 4
275 Cumberland Bnd
Nashville, TN 37228-1805
Phone (615) 726-3340
Other practice location 5
1600 7th Ave S
Birmingham, AL 35233-1711
Phone (205) 638-9100 ext. 9885
Other names
- Kiara Denise Gildersleeve
Other providers in Monroeville, AL
- Timothy Huie
- Ich ER Services of Alabama, LLC
- Angelina Jackson
- Brenda Lee Jackson
- Stephanie Nicole James
- Mark Alan Johnson
- Carol G Johnston
- Cynthia Griffis Jones
- Lauren Joyner
- Courtney Judson
All providers in Monroeville, AL · Psychiatric/Mental Health Nurse Practitioner in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.