Kailyn Slack, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN227754 Issued in GA

Practice address

107 Woodlawn Dr
Perry, GA 31069-2394

Phone

(478) 333-2100

NPI assigned

Aug 8, 2018

Last updated

Sep 29, 2026By 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 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ms_kstovall@landmarkhealth-direct.org

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.

• Family Hospice and Palliative Care LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Villa Rica, GA
  • NPI 1790524585
  Medicare reassignment NPD
• Small Hospital Innovations LLC

  • Emergency Medicine Physician
  • Clewiston, FL
  • NPI 1184040560

  GA

  Medicare reassignment NPD
• Theoria Medical

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1609362375

  GA

  Medicare reassignment NPD
• Angel Heart Hospice, LLC

  dba Family Hospice

  • Community Based Hospice Care Agency
  • Marietta, GA
  • NPI 1700402443
  NPD (past)
• South Atlanta Urgent Care Clinic LLC

  • Urgent Care Clinic/Center
  • Atlanta, GA
  • NPI 1144548363
  NPD (past)
• Swift Health Medical Group

  • Urgent Care Clinic/Center
  • Morrow, GA
  • NPI 1811434210
  NPD (past)

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

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1962981126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 WOODLAWN DR",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310692394",
            "telephone_number": "478-396-1147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 WOODLAWN DR",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310692394",
            "telephone_number": "478-333-2100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4562 Forsyth Rd Ste 4",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312100510",
            "country_code": "US",
            "telephone_number": "478-551-9200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLACK",
        "first_name": "KAILYN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-08",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN227754",
            "primary": true
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "GA",
            "license": "RN227754",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Beverly J Sinclair, M.A., CCC-SLP
• Sleepmed, Inc.
• Tesia Smith
• Mornecia Solomon
• Stephanie Christine Sorrell
• Appavuchetty Soundappan, MD

• Family Nurse Practitioner in Perry, GA
• Providers in Perry, 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 Sep 29, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.