Individual provider Active NPI

Kailey McCarty

  • Specialist
  • Gainesville, FL
National Provider Identifier
1558734863
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
2035 SW 75TH St
Gainesville, FL 32607-3425
Phone
(352) 332-8588
Fax
(352) 332-8589
NPI assigned
Nov 9, 2015
Last updated
Apr 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

2035 SW 75TH St
Gainesville, FL 32607-3425

Mailing address

PO Box 357370
Gainesville, FL 32635-7370
Phone (352) 332-8588

Other names 1

  • Kailey Wendland Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230425001298 GA Practitioner - Qualified Speech Language Pathologist 4385009406 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services Inc CurrentSince Mar 23, 2023 Accepting new patients
Legacy Healthcare Services, Inc. CurrentSince Mar 23, 2023 Accepting new patients
The Weston Group Inc. CurrentSince Dec 29, 2023 Accepting new patients
Legacy Healthcare Services, Inc. CurrentSince Mar 23, 2023 Accepting new patients
Transperfect Health Corp CurrentSince Oct 15, 2023 Accepting new patients
The Weston Group Inc. CurrentSince Dec 29, 2023 Accepting new patients
Behavior Analysis Support Services, Inc. Past Accepting new patients

Locations

1170 Peachtree St NE
Ste 1600
Atlanta, GA 30309
Phone (570) 854-1632

1100 Reinhardt College Pkwy
Canton, GA 30114
Phone (770) 721-2812

3333 E Cherokee Dr
Canton, GA 30115
Phone (470) 714-6698

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (919) 861-2441

1250 Broadway
Fl 32
New York, NY 10001
Phone (212) 290-6447

Organizations & group practices 7

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": "1447027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1558734863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 357370",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326357370",
            "telephone_number": "352-332-8588",
            "fax_number": "352-332-8589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 SW 75TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326073425",
            "telephone_number": "352-332-8588",
            "fax_number": "352-332-8589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTY",
        "first_name": "KAILEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-09",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAILEY",
            "last_name": "WENDLAND",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.