Healthcare Provider Details

I. General information

NPI: 1346588209
Provider Name (Legal Business Name): KAYON ELAINE SINCLAIR DNP,FNP/BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KAYON AYTON COWELL DNP, FNP/BC

II. Dates (important events)

Enumeration Date: 01/27/2013
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1899 LAKE RD STE 223
HIRAM GA
30141-2293
US

IV. Provider business mailing address

3721 NEW MACLAND RD STE 205-265
POWDER SPRINGS GA
30127-2000
US

V. Phone/Fax

Practice location:
  • Phone: 770-727-5108
  • Fax: 877-817-2850
Mailing address:
  • Phone: 770-727-5108
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number179410
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: