Active NPI
Kisha Meshun Peace, AGNP-C
- Nurse Practitioner
- Covington, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NP194819
- Practice address
- 5126 Hospital Dr NE Ste 102
Covington, GA 30014-2566 - Phone
- (770) 385-4453
- NPI assigned
- Mar 8, 2019
- Last updated
- Jan 14, 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP194819 | GA | Primary |
| Adult Health Nurse Practitioner | 363LA2200X | NCO-000001 | GA | |
| Gerontology Nurse Practitioner | 363LG0600X | NCO-000001 | GA | |
| Infusion Therapy Registered Nurse | 163WI0500X | RN194819 | GA | |
| Oncology Registered Nurse | 163WX0200X | RN194819 | GA |
Addresses
Primary practice location
5126 Hospital Dr NE Ste 102
Covington, GA 30014-2566
Mailing address
508 Bethelview Dr
Hampton, GA 30228-4825
Phone (850) 624-5436
Other practice location 1
7823 Spivey Station Blvd Ste 360
Jonesboro, GA 30236-2886
Phone (770) 741-1750
Other names 1
- Kisha Meshun Peace
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5126 Hospital Dr NE
Covington, GA 30014-2566
Phone (678) 342-8674
7823 Spivey Station Blvd
Suite 360
Jonesboro, GA 30236-2886
Phone (888) 220-6432
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP194819 | GA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Infectious Disease Consultants, LLC | Nurse Practitioner | Current | Accepting new patients |
| Piedmont Providers LLC | Current | Accepting new patients | |
| Metro Infectious Disease Consultants LLC | Current | Accepting new patients | |
| Metro Infectious Disease Consultants, LLC | Past | Accepting new patients |
Locations
11800 Northfall Ln
Ste 1406
Alpharetta, GA 30009
Phone (678) 413-1360
1984 Peachtree Rd NW
Ste 300
Atlanta, GA 30309
Phone (404) 367-3210
5126 Hospital Dr NE
Covington, GA 30014
Phone (770) 385-4340
5126 Hospital Dr NE
Ste 102
Covington, GA 30014
Phone (770) 385-4453
7823 Spivey Station Blvd
Ste 360
Jonesboro, GA 30236
Phone (770) 741-1750
1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000
7444 Hannover Pkwy S
Ste 210
Stockbridge, GA 30281
Phone (770) 741-1750
901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Jasper, GA
- NPI 1548273592
-
dba Midc, LLC
- Infectious Disease Physician
- Burr Ridge, IL
- NPI 1235125717
GA, Nurse Practitioner
-
dba Midc
- Infectious Disease Physician
- Jonesboro, GA
- NPI 1770307191
-
- Infectious Disease Physician
- Plymouth, MI
- NPI 1841530250
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Newton Medical Center
- General Acute Care Hospital
- Covington, GA
- NPI 1760498588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768348800000",
"number": "1528526548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "508 BETHELVIEW DR",
"city": "HAMPTON",
"state": "GA",
"postal_code": "302284825",
"telephone_number": "850-624-5436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5126 HOSPITAL DR NE STE 102",
"city": "COVINGTON",
"state": "GA",
"postal_code": "300142566",
"telephone_number": "770-385-4453"
}
],
"practiceLocations": [
{
"address_1": "7823 Spivey Station Blvd Ste 360",
"address_purpose": "LOCATION",
"city": "Jonesboro",
"state": "GA",
"postal_code": "302362886",
"country_code": "US",
"telephone_number": "770-741-1750",
"fax_number": "770-741-1755",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEACE",
"first_name": "KISHA",
"middle_name": "MESHUN",
"credential": "AGNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-08",
"last_updated": "2026-01-14",
"certification_date": "2026-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "NP194819",
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "GA",
"license": "NCO-000001",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "GA",
"license": "NCO-000001",
"primary": false
},
{
"code": "163WI0500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Infusion Therapy",
"state": "GA",
"license": "RN194819",
"primary": false
},
{
"code": "163WX0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Oncology",
"state": "GA",
"license": "RN194819",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KISHA",
"last_name": "PEACE",
"middle_name": "MESHUN",
"credential": "MSN, AGNP-C",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Covington, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.