Active NPI
Kathleen Jane Layman, NP
- Nurse Practitioner
- Carrollton, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN184062
- Practice address
- 705 Dixie St
Carrollton, GA 30117-3818 - Phone
- (770) 836-9508
- NPI assigned
- Sep 18, 2017
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN184062 | GA | Primary |
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | RN184062 | GA |
Addresses
Primary practice location
705 Dixie St
Carrollton, GA 30117-3818
Mailing address
705 Dixie St
Carrollton, GA 30117-3818
Phone (770) 616-0335
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
Enrollment records 1
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
Practice addresses (Care Compare)
200 Allen Memorial Dr
Bremen, GA 30110-2012
Phone (954) 939-5000
705 Dixie St
Carrollton, GA 30117-3818
Phone (770) 812-9666
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN184062 | GA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia Em-I Medical Services, LLC | Nurse Practitioner | Current | Accepting new patients |
| Carrollton Emergency Physicians, PC | Current | Accepting new patients | |
| Georgia Em-I Medical Services. LLC | Nurse Practitioner | Current | Accepting new patients |
Locations
200 Allen Memorial Dr
Bremen, GA 30110
Phone (770) 537-5851
705 Dixie St
Carrollton, GA 30117
Phone (770) 812-9666
601 Dallas Hwy
Villa Rica, GA 30180
Phone (770) 456-3000
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.
-
- Emergency Medicine Physician
- Carrollton, GA
- NPI 1790724672
-
- Nurse Practitioner
- Bremen, GA
- NPI 1851569560
-
- Nurse Practitioner
- Covington, GA
- NPI 1255213005
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1881113173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "705 DIXIE ST",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301173818",
"telephone_number": "770-616-0335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 DIXIE ST",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301173818",
"telephone_number": "770-836-9508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAYMAN",
"first_name": "KATHLEEN",
"middle_name": "JANE",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-18",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN184062",
"primary": true
},
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "GA",
"license": "RN184062",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carrollton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.