Individual provider Active NPI

Kaylor L Howard, FNP

  • Family Nurse Practitioner
  • Loganville, GA
National Provider Identifier
1629722293
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN288647 Issued in GA
Practice address
98 Tara Commons Dr
Loganville, GA 30052-8031
Phone
(833) 690-6386
Fax
(470) 428-7082
NPI assigned
Feb 11, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN288647 GA Primary

Addresses

Primary practice location

98 Tara Commons Dr
Loganville, GA 30052-8031

Mailing address

98 Tara Commons Dr
Loganville, GA 30052-8031
Phone (470) 572-3199

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20240312003467 GA Practitioner - Nurse Practitioner 0941646988 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ascend Medical Georgia PCGroup PAC ID 8820488745, 24 clinicians

Practice addresses (Care Compare)

2313 Deep Wood Dr
Loganville, GA 30052-7447
Phone (470) 572-3199

619 Rankin St NE
Atlanta, GA 30308-2920
Phone (888) 250-5708

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ascend Medical Georgia II PC CurrentSince Aug 12, 2025 Accepting new patients
Confiance Healthcare CurrentSince Jan 8, 2024 Accepting new patients
Ascend Medical Georgia PC CurrentSince Aug 12, 2025 Accepting new patients

Locations

130 Hawthorne Park
Athens, GA 30606
Phone (706) 227-2700

619 Rankin St NE
Atlanta, GA 30308
Phone (404) 874-3102

3560 Lenox Rd NE
Ste 1230
Atlanta, GA 30326
Phone (678) 500-8010

98 Tara Commons Dr
Loganville, GA 30052
Phone (678) 389-4147

Interoperability endpoints

  • Direct secure messaging: kaylor.howard-williams.1@30437.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1644537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1629722293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 TARA COMMONS DR",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300528031",
            "telephone_number": "470-572-3199",
            "fax_number": "470-428-7082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 TARA COMMONS DR",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300528031",
            "telephone_number": "833-690-6386",
            "fax_number": "470-428-7082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "KAYLOR",
        "middle_name": "L",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-11",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN288647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loganville, GA

Sources for this page

Verify at the official NPI Registry.