Kayla Landaverde

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN296397 Issued in GA

Practice address

433 Highland Pkwy Ste 201
Ellijay, GA 30540-7658

Phone

(678) 513-2273

Fax

(678) 513-8869

NPI assigned

Mar 6, 2025

Last updated

Mar 6, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Heart and Vascular Care, LLCGroup PAC ID 0941303622, 45 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Blue Ridge Medical Center Hospital, Blue Ridge, GA, CCN 111338

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1164/brand/1/csg/1/fhir/r4
• Direct secure messaging: kayla.landaverde.1@1164.direct.athenahealth.com

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.

• Heart and Vascular Care, LLC

  • Cardiovascular Disease Physician
  • Cumming, GA
  • NPI 1144371576
  Medicare reassignment Care Compare group NPD
• Heart and Vascular Care, LLC

  • Cardiac Rehabilitation Registered Nurse
  • Cumming, GA
  • NPI 1740960434
  NPD

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

• Blue Ridge Georgia Hospital Company LLC

  dba Blue Ridge Medical Center

  • Critical Access Hospital
  • Blue Ridge, GA
  • NPI 1851362263
  Care Compare affiliation

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

{
    "created_epoch": "1741219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1750189437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3970 DEP BILL CANTRELL MEMORIAL RD",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300403011",
            "telephone_number": "678-513-2273",
            "fax_number": "678-513-8869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 HIGHLAND PKWY STE 201",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305407658",
            "telephone_number": "678-513-2273",
            "fax_number": "678-513-8869"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2855 Old Highway 5 Ste 103",
            "address_purpose": "LOCATION",
            "city": "Blue Ridge",
            "state": "GA",
            "postal_code": "305136239",
            "country_code": "US",
            "telephone_number": "678-513-2273",
            "fax_number": "678-513-8869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANDAVERDE",
        "first_name": "KAYLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-06",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN296397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy Lynn Kinnison, P.T.
• KJC Unlimited (LifeJet)
• Megan Louise Konrad, COTA/L
• Barbara Ann Kroninger, DDS
• David Andrew Krout, PT
• Lapham Dialysis LLC (Ellijay Home Training)
• Robert W Lee, DC
• Lifetime Medical Center, PC
• Lighthouse Treatment Centers of Georgia LLC
• Chelsea Lineberry

• Family Nurse Practitioner in Ellijay, GA
• Providers in Ellijay, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.