Individual provider Active NPI

Kasey Eavenson Fish, NP-C

  • Family Nurse Practitioner
  • Macon, GA
National Provider Identifier
1558932004
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN183098 Issued in GA
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.

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. 5 clinicians

Practice addresses (Care Compare)

201 Avera Dr
Fort Valley, GA 31030-5008
Phone (478) 825-7000

Hospital & facility affiliations

  • Atrium Health Navicent Peach Hospital, Byron, GA, CCN 111310

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
Health Services of Central Georgia, Inc CurrentSince Nov 1, 2021 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)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN183098 GA Primary

Addresses

NPPES NPI Registry

Primary 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

Verify at the official NPI Registry.