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

Mrs. Kimberly Lacynthia Logan, APRN

Individual provider Gerontology Nurse Practitioner · NPI 1417147463

Mrs. Kimberly Lacynthia Logan, APRN is a Nurse Practitioner in Chatsworth, Georgia. Graduated from Emory University School of Medicine in 1997, 29 years ago. Accepts Medicare assignment. Licensed in Florida.

Years since qualifying
29
Trained at
Emory University School of Medicine
Licensed in
FL
In the registry since
2007
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

1440 Jackson Lake Rd
Chatsworth, GA 30705-4109
Phone: (904) 377-3301
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 9166317 (FL)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 9166317 (FL)

Record details

NPI number1417147463
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedJuly 26, 2007
Last updated in NPPESSeptember 13, 2021
Certification dateSeptember 13, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolEMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare