Individual provider Active NPI

Kacey M Mosely, APRN

  • Family Nurse Practitioner
  • Canton, GA
National Provider Identifier
1154976892
Registry record updated Oct 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN216500 Issued in GA
Practice address
3785 Sixes Rd
Canton, GA 30114-7809
Phone
(866) 389-2727
NPI assigned
Aug 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN216500 GA Primary

Addresses

Primary practice location

3785 Sixes Rd
Canton, GA 30114-7809

Mailing address

3785 Sixes Rd
Canton, GA 30114-7809
Phone (866) 389-2727

Other names 1

  • Kacey Griffin Former name

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

State licenses

LicenseStateTypeSpecialty
RN216500GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tru- U Medical & Weight Loss, LLC Family CurrentSince Dec 7, 2025 Accepting new patients
Body Expressions the Aesthetic Edge Family CurrentSince Dec 8, 2024 Accepting new patients

Locations

2610 Holly Springs Pkwy
Holly Springs, GA 30115
Phone (770) 224-8604

233 Arnold Mill Rd
Ste 300
Woodstock, GA 30188
Phone (404) 441-4700

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697328000000",
    "number": "1154976892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3785 SIXES RD",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301147809",
            "telephone_number": "866-389-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3785 SIXES RD",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301147809",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSELY",
        "first_name": "KACEY",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-08",
        "last_updated": "2023-10-15",
        "certification_date": "2023-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN216500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KACEY",
            "last_name": "GRIFFIN",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Canton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.