Active NPI
Kasey Eavenson Fish, NP-C
- Family Nurse Practitioner
- Macon, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN183098
- Practice address
- 400 Poplar St
Macon, GA 31201-3336 - Phone
- (478) 787-4266
- Fax
- (478) 787-4199
- NPI assigned
- Jul 6, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
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.
-
- Rural Health Clinic/Center
- Fort Valley, GA
- NPI 1275775314
-
- Critical Access Hospital
- Byron, GA
- NPI 1114923406
-
- Medicare Defined Swing Bed Hospital Unit
- Byron, GA
- NPI 1477677698
-
- Family Medicine Physician
- Forsyth, GA
- NPI 1730484353
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Medical Center of Peach County, Inc.
Practice addresses (Care Compare)
201 Avera Dr
Fort Valley, GA 31030-5008
Phone (478) 825-7000
Hospital & facility affiliations
- Atrium Health Navicent Peach
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211101001523 | GA | Practitioner - Nurse Practitioner | 8628466281 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Services of Central Georgia, Inc | Current | Accepting new patients | |
| Central Georgia Family Medicine, LLC | Past | Accepting new patients | |
| The Medical Center of Peach County, Inc | Past | Accepting new patients |
Locations
1960 GA Highway 247 Connector
Ste A
Byron, GA 31008
Phone (478) 654-2350
120 N Lee St
Ste A
Forsyth, GA 31029
Phone (478) 994-0437
3400 Riverside Dr
Macon, GA 31210
Phone (478) 474-5600
5437 Bowman Rd
Ste 126
Macon, GA 31210
Phone (478) 633-1919
1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN183098 | GA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
400 Poplar St
Macon, GA 31201-3336
Mailing address
400 Poplar St
Macon, GA 31201-3336
Phone (478) 787-4266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 16, 2026.
{
"created_epoch": "1625529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771200000000",
"number": "1558932004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 POPLAR ST",
"city": "MACON",
"state": "GA",
"postal_code": "312013336",
"telephone_number": "478-787-4266",
"fax_number": "478-787-4199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 POPLAR ST",
"city": "MACON",
"state": "GA",
"postal_code": "312013336",
"telephone_number": "478-787-4266",
"fax_number": "478-787-4199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISH",
"first_name": "KASEY",
"middle_name": "EAVENSON",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-06",
"last_updated": "2026-02-16",
"certification_date": "2026-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN183098",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.