Individual provider Active NPI

Kiara Gildersleeve Johns, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Monroeville, AL
National Provider Identifier
1447798558
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1-140289 Issued in AL
Practice address
PO Box 612
Monroeville, AL 36461-0612
Phone
(251) 575-1234
Fax
(251) 200-4579
NPI assigned
Feb 9, 2017
Last updated
Jun 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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 Primary

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

1600 7th Ave S
Birmingham, AL 35233-1711
Phone (205) 638-9100 ext. 9885

Other practice location 3

3022 Vanderbilt Pl
Nashville, TN 37212-2500
Phone (615) 393-3792

Other practice location 4

270 Carpenter Dr Ste 400
Sandy Springs, GA 30328-4933
Phone (678) 460-0345

Other practice location 5

275 Cumberland Bnd
Nashville, TN 37228-1805
Phone (615) 726-3340

Other names 1

  • Kiara Denise Gildersleeve Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, FL, NC, AL4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
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

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11004804FLMDPsychiatric/Mental Health Nurse Practitioner
GAA-NP000887GAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Community Health Centers Inc Current Accepting new patients
Perry County Medical Center, Inc. CurrentSince Sep 27, 2023 Accepting new patients
Perry County Medical Center Inc CurrentSince Sep 27, 2023 Accepting new patients
Florida Community Health Centers Inc Current Accepting new patients
Florida Community Health Centers Inc CurrentSince Feb 13, 2023 Accepting new patients
Scotland Memorial Hospital Inc CurrentSince Oct 1, 2024 Accepting new patients
Scotland Memorial Hospital Inc Psychiatric/Mental Health CurrentSince Oct 1, 2024 Accepting new patients
Florida Community Health Centers Inc CurrentSince Feb 13, 2023 Accepting new patients
Florida Community Health Centers Inc Current Accepting new patients
Family Ties Inc. Past Accepting new patients
Perry County Medical Center, Inc. PastSince Sep 27, 2023 Accepting new patients
Harris Family Practice PLLC 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

  • Direct secure messaging: kjohns2926954@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 12

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": "1486598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1447798558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 612",
            "city": "MONROEVILLE",
            "state": "AL",
            "postal_code": "364610612",
            "fax_number": "251-200-4579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 612",
            "city": "MONROEVILLE",
            "state": "AL",
            "postal_code": "364610612",
            "telephone_number": "251-575-1234",
            "fax_number": "251-200-4579"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1230 3rd Ave S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352331311",
            "country_code": "US",
            "telephone_number": "205-454-8420",
            "fax_number": "205-224-4431",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 7th Ave S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352331711",
            "country_code": "US",
            "telephone_number": "205-638-9100 x9885",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3022 Vanderbilt Pl",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372122500",
            "country_code": "US",
            "telephone_number": "615-393-3792",
            "fax_number": "615-334-0896",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "270 Carpenter Dr Ste 400",
            "address_purpose": "LOCATION",
            "city": "Sandy Springs",
            "state": "GA",
            "postal_code": "303284933",
            "country_code": "US",
            "telephone_number": "678-460-0345",
            "fax_number": "678-460-0350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "275 Cumberland Bnd",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372281805",
            "country_code": "US",
            "telephone_number": "615-726-3340",
            "fax_number": "615-743-1679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNS",
        "first_name": "KIARA",
        "middle_name": "GILDERSLEEVE",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-09",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "GAA-NP000887",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11004804",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "23424",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AL",
            "license": "1-140289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIARA",
            "last_name": "GILDERSLEEVE",
            "middle_name": "DENISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Monroeville, AL

Sources for this page

Verify at the official NPI Registry.