Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kala White Wilson, CFNP

Individual provider Nurse Practitioner · NPI 1376670570

Kala White Wilson, CFNP is a Nurse Practitioner in Columbus, Mississippi. Qualified in 2006, 20 years ago. Practices with Bethany R Hairston MD, a 4-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
20
Licensed in
MS
In the registry since
2007
Specialties on file
2

Practice location Address checks out

724 Leigh Dr
Columbus, MS 39705-3098
Phone: (662) 328-3375
Fax: (662) 328-3395
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R865872 (MS)
Nurse Practitioner Taxonomy 363L00000X · Licence R865872 (MS)

Record details

NPI number1376670570
Entity typeIndividual (Type 1)
GenderFemale
Credentials CFNP
Sole proprietorNo
NPI enumeratedFebruary 27, 2007
Last updated in NPPESMay 24, 2021
Certification dateMay 24, 2021
Mailing address724 Leigh Dr, Columbus, MS 39705-3098

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Bethany R Hairston Md — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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