Individual provider Active NPI

Kayla Cochran, FNP

  • Nurse Practitioner
  • Aiken, SC
National Provider Identifier
1841692241
Registry record updated Sep 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN19029 Issued in SC
Practice address
415 Barnwell Ave NW
Aiken, SC 29801-3937
Phone
(803) 644-4403
Fax
(803) 644-4405
NPI assigned
Sep 17, 2014
Last updated
Sep 17, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN19029 SC Primary

Addresses

Primary practice location

415 Barnwell Ave NW
Aiken, SC 29801-3937

Mailing address

415 Barnwell Ave NW
Aiken, SC 29801-3937
Phone (803) 644-4403

Other identifiers 1

IdentifierTypeStateIssuer
GP4185MedicaidSC

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
I20201204001572 GA Practitioner - Nurse Practitioner 4789095233 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

127 Telfair St
Augusta, GA 30901-2590
Phone (706) 922-0600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN19029SCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christ Community Health Services Augusta, Inc CurrentSince Nov 30, 2020 Accepting new patients
Christ Community Health Services Augusta, Inc. CurrentSince Nov 30, 2020 Accepting new patients
Christ Community Health Services Augusta, Inc Past Accepting new patients
Christ Community Health Services Augusta, Inc Past Accepting new patients
Christ Community Health Services Augusta, Inc Past Accepting new patients

Locations

1226 Dantignac St
Augusta, GA 30901
Phone (706) 922-0600

1226 Dantignac St
#D
Augusta, GA 30901

127 Telfair St
Augusta, GA 30901
Phone (706) 922-0600

Organizations & group practices 5

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": "1410912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410912000000",
    "number": "1841692241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 BARNWELL AVE NW",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298013937",
            "telephone_number": "803-644-4403",
            "fax_number": "803-644-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 BARNWELL AVE NW",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298013937",
            "telephone_number": "803-644-4403",
            "fax_number": "803-644-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCHRAN",
        "first_name": "KAYLA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-17",
        "last_updated": "2014-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "APN19029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4185",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

Verify at the official NPI Registry.