Individual provider · Type 1 NPI

Kallista Kilgore, NP

Nurse Practitioner · Carrollton, GA

NPI number 1194679027 Active

Practice location

706 Dixie St Ste 320
Carrollton, GA 30117-3890

Call (770) 812-9326 Map

Mailing address

25 Harpers Run
Carrollton, GA 30117-5209

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	APRN-NP712087 (GA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1194679027

Kallista Kilgore, NP's National Provider Identifier is 1194679027, issued on Feb 26, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Carrollton, GA. The record was last updated on Feb 26, 2026.