Individual provider Active NPI

Kaylan Lancaster, APRN

  • Family Nurse Practitioner
  • Moultrie, GA
National Provider Identifier
1689158446
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN274776 Issued in GA
Practice address
1 Magnolia CT
Moultrie, GA 31768-6764
Phone
(229) 890-1442
Fax
(229) 890-0782
NPI assigned
Sep 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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 RN274776 GA Primary

Addresses

Primary practice location

1 Magnolia CT
Moultrie, GA 31768-6764

Mailing address

PO Box 2876
Moultrie, GA 31776-2876
Phone (229) 890-1442

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
I20190925002537 GA Practitioner - Nurse Practitioner 2264762715 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sterling Internal Medicine LLCGroup PAC ID 0547510232, 4 clinicians

Practice addresses (Care Compare)

2509 S Main St
Moultrie, GA 31768-6530
Phone (229) 890-1442

Hospital & facility affiliations

  • Colquitt Regional Medical Center Hospital, Moultrie, GA, CCN 110105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN274776GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sterling Internal Medicine, LLC CurrentSince Sep 1, 2019 Accepting new patients

Locations

1 Magnolia Ct
Moultrie, GA 31768
Phone (229) 502-9753

2509 S Main St
Moultrie, GA 31768
Phone (229) 785-2015

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1689158446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2876",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317762876",
            "telephone_number": "229-890-1442",
            "fax_number": "229-890-0782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MAGNOLIA CT",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317686764",
            "telephone_number": "229-890-1442",
            "fax_number": "229-890-0782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANCASTER",
        "first_name": "KAYLAN",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-18",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN274776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moultrie, GA

Sources for this page

Verify at the official NPI Registry.