Kayla Marie Cooley, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Sandersville, Mississippi. She graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Wiggins Primary Care and her current practice location is
109 N Front St, Sandersville, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(601) 490-7190.
Kayla Marie Cooley is licensed to practice in Mississippi (license number 904346) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1003404732.
Provider's Profile
| Full Name | Kayla Marie Cooley |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 6 Years |
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| Location | 109 N Front St, Sandersville, Mississippi |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kayla Marie Cooley graduated from nursing school in 2020
NPI Data:
- NPI Number: 1003404732
- Provider Enumeration Date: 01/07/2021
- Last Update Date: 05/26/2026
Medicare PECOS Information:
- PECOS PAC ID: 4183031966
- Enrollment ID: I20210323000256
Medical Identifiers
Medical identifiers for Kayla Marie Cooley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1003404732 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 904346 (Mississippi) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Wiggins Primary Care | 5890737019 | 7 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kayla Marie Cooley allows following entities to bill medicare on her behalf.
| Entity Name | Wiggins Primary Care |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740293257
PECOS PAC ID: 5890737019
Enrollment ID: O20050527000428 |
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| Entity Name | North Laurel Family Medicine LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265921985
PECOS PAC ID: 0244584241
Enrollment ID: O20181109001743 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kayla Marie Cooley is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Kayla Marie Cooley, FNP-C
1032 Morriston Rd,
Petal, MS 39465-9733
Ph: (601) 410-3924 | Kayla Marie Cooley, FNP-C
109 N Front St,
Sandersville, MS 39477
Ph: (601) 490-7190 |
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