Krista Lauren Keen, NP
Individual provider Active NPI Family Nurse Practitioner · Macon, GA
NPI 1124585880 · NPPES record last updated Dec 30, 2025
Key facts
- NPI
- 1124585880
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN209195 (GA)
- Practice address
- 3448 Vineville Ave
Macon, GA 31204-1867 - Phone
- (478) 405-0045
- Fax
- (478) 405-0054
- NPI assigned
- Feb 28, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Vineville Internal Medicine LLC
Practice addresses (Care Compare)
3448 Vineville Ave
Macon, GA 31204-1867
Phone (478) 405-0045
Hospital & facility affiliations
- Emory Houston Hospital Warner Robins
- Atrium Health Navicent the Medical Center
- Atrium Health Navicent Peach
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190412001959 | GA | Practitioner - Nurse Practitioner | 0840531166 |
Reassigns benefits to 2 organizations Practice locations: Perry, GA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vineville Internal Medicine LLC | Current |
Accepting new patients | |
| Careconnect Health, Inc. | Current |
Accepting new patients | |
| Careconnect Health, Inc. | Current |
Accepting new patients |
Locations
3448 Vineville Ave
Macon, GA 31204
Phone (478) 405-0045
277 Perry Pkwy
Ste C
Perry, GA 31069
Phone (478) 988-6087
510 Alston St
Ste B
Richland, GA 31825
Phone (229) 887-3324
506 Osigian Blvd
Ste 4
Warner Robins, GA 31088
Phone (478) 405-0045
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN209195 | GA | Yes |
Addresses
Primary practice location
3448 Vineville Ave
Macon, GA 31204-1867
Mailing address
3448 Vineville Ave
Macon, GA 31204-1867
Phone (478) 405-0045
Other practice location 1
277 Perry Pkwy Ste C
Perry, GA 31069-8428
Phone (478) 988-6087
Other names
- Krista Shugart
Other providers in Macon, GA
- Quana Kavanagh
- Aisha Kazi
- Mohummed Shahroze Kazmi
- Kushal KC
- Keen Immediate Care Clinic
- Mark William Keenan
- Brandy Keeter
- Ashley J Keeton
- Thomas Earl Kehl
- Fiona Claire Kehoe
All providers in Macon, GA · Family Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.