Individual provider Active NPI

Kisha Meshun Peace, AGNP-C

  • Nurse Practitioner
  • Covington, GA
National Provider Identifier
1528526548
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP194819 Issued in GA
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201022001836 GA Practitioner - Nurse Practitioner 7618397100 Reassigns benefits to 2 organizations

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
Piedmont Providers LLCGroup PAC ID 9830082825, 526 clinicians

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

LicenseStateTypeSpecialty
NP194819GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Infectious Disease Consultants, LLC Nurse Practitioner CurrentSince Jul 1, 2020 Accepting new patients
Piedmont Providers LLC CurrentSince Nov 18, 2025 Accepting new patients
Metro Infectious Disease Consultants LLC CurrentSince Jul 1, 2020 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.