Active NPI
Kacey Ingram, RN
- Registered Nurse
- Conyers, GA
National Provider Identifier
1043155492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN711984
- Practice address
- 985 Taylor St SW
Conyers, GA 30012-5357 - Phone
- (770) 785-4345
- NPI assigned
- Apr 22, 2026
- Last updated
- Apr 22, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN711984 | GA | Primary |
Addresses
Primary practice location
985 Taylor St SW
Conyers, GA 30012-5357
Mailing address
2570 Riverside Pkwy
Lawrenceville, GA 30046-3339
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN711984 | GA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rockdale County Health Department | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Public Health or Welfare Agency
- Conyers, GA
- NPI 1295706083
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776816000000",
"number": "1043155492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2570 RIVERSIDE PKWY",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300463339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "985 TAYLOR ST SW",
"city": "CONYERS",
"state": "GA",
"postal_code": "300125357",
"telephone_number": "770-785-4345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGRAM",
"first_name": "KACEY",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-04-22",
"last_updated": "2026-04-22",
"certification_date": "2026-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN711984",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conyers, GA
- In Home Health LLC (Heartland Hospice Services)
- Infinite Care at Home LLC
- Ingles Markets Inc (Ingles Pharmacy #469)
- Malinda Ingram Weeks, LPC, NCC
- Anna Cunningham Ingram, LPC
- Stephanie Ingram, CSA
- Innovative Nursing Solutions and Hospice Care LLC (INS Hospice)
- Innovative Nursing Solutions of Georgia LLC (Innovative Nursing Soultions)
- Instant Labs and Testing Center
- Integrity Complex Care Management, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.