Active NPI
Krishna McEachern, CCP, LP
- Perfusionist
- Marietta, GA
National Provider Identifier
1295613180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Perfusionist
- License
- 453
- Practice address
- 677 Church St NE
Marietta, GA 30060-1101 - Phone
- (770) 793-5000
- NPI assigned
- Aug 26, 2025
- 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 |
|---|---|---|---|---|
| Perfusionist | 242T00000X | 453 | GA | Primary |
Addresses
Primary practice location
677 Church St NE
Marietta, GA 30060-1101
Mailing address
3890 Floyd Rd Apt 12102
Austell, GA 30106-1785
Phone (703) 655-6458
Other names 1
- Krishna Phifer
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
| License | State | Type | Specialty |
|---|---|---|---|
| 453 | GA | MD | Perfusionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756166400000",
"number": "1295613180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3890 FLOYD RD APT 12102",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301061785",
"telephone_number": "703-655-6458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "677 CHURCH ST NE",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300601101",
"telephone_number": "770-793-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCEACHERN",
"first_name": "KRISHNA",
"credential": "CCP, LP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-26",
"last_updated": "2025-08-26",
"certification_date": "2025-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "242T00000X",
"taxonomy_group": "",
"desc": "Perfusionist",
"state": "GA",
"license": "453",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISHNA",
"last_name": "PHIFER",
"credential": "CCP, LP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.