Individual provider Active NPI

Kaylyn Clifton, FNP-C

  • Family Nurse Practitioner
  • Waynesboro, GA
National Provider Identifier
1700760071
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN305894 Issued in GA
Practice address
204 Porter Carswell Rd
Waynesboro, GA 30830-5605
Phone
(706) 871-7219
NPI assigned
Jul 31, 2025
Last updated
Jul 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 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 RN305894 GA Primary

Addresses

Primary practice location

204 Porter Carswell Rd
Waynesboro, GA 30830-5605

Mailing address

204 Porter Carswell Rd
Waynesboro, GA 30830-5605
Phone (706) 871-7219

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
I20260111000032 GA Practitioner - Nurse Practitioner 6800372731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical SpecialistsGroup PAC ID 0840108478, shared by 2 NPIs, 9 clinicians

Practice addresses (Care Compare)

305 Jones Ave
Waynesboro, GA 30830-1510

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN305894GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Specialists CurrentSince Dec 8, 2025 Accepting new patients
Medical Specialists, Inc CurrentSince Dec 8, 2025 Accepting new patients

Locations

305 Jones Ave
Waynesboro, GA 30830
Phone (706) 554-5147

406 E Broad St
Wrens, GA 30833
Phone (706) 547-7008

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1753920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1700760071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 PORTER CARSWELL RD",
            "city": "WAYNESBORO",
            "state": "GA",
            "postal_code": "308305605",
            "telephone_number": "706-871-7219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 PORTER CARSWELL RD",
            "city": "WAYNESBORO",
            "state": "GA",
            "postal_code": "308305605",
            "telephone_number": "706-871-7219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLIFTON",
        "first_name": "KAYLYN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-31",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN305894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesboro, GA

Sources for this page

Verify at the official NPI Registry.