Individual provider Active NPI

Jessica Kaye Craft, DNP-FNP-C

  • Family Nurse Practitioner
  • Macon, GA
National Provider Identifier
1609765643
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN314274 Issued in GA
Practice address
5400 Riverside Dr Ste 202
Macon, GA 31210-0818
Phone
(478) 787-0059
NPI assigned
Jul 2, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN314274 GA Primary

Addresses

Primary practice location

5400 Riverside Dr Ste 202
Macon, GA 31210-0818

Mailing address

402 Rustic Live Oak TRL
Bonaire, GA 31005-4236
Phone (919) 648-5096

Other practice location 1

100 Tommy Stalnaker Dr Ste 100A
Warner Robins, GA 31088-1402
Phone (855) 228-4597

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
I20251105001192 GA Practitioner - Nurse Practitioner 0042700460 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Avilys-Sleep and EegGroup PAC ID 7719303072, 10 clinicians

Practice addresses (Care Compare)

5400 Riverside Dr
Suite 202
Macon, GA 31210-0818
Phone (855) 228-4597

Hospital & facility affiliations

  • Chatuge Regional Hospital Hospital, Hiawassee, GA, CCN 111324

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN314274GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Avilys-Sleep & Eeg CurrentSince Sep 25, 2025 Accepting new patients
Ga Diagnostic Providers LLC CurrentSince Jul 9, 2025 Accepting new patients

Locations

5400 Riverside Dr
Ste 202
Macon, GA 31210
Phone (478) 787-0059

2300 Northside Xing
#B
Macon, GA 31210
Phone (855) 228-4597

5400 Riverside Dr
Ste 101
Macon, GA 31210

100 Tommy Stalnaker Dr
Ste 100A
Warner Robins, GA 31088
Phone (478) 787-0059

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1751414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1609765643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 RUSTIC LIVE OAK TRL",
            "city": "BONAIRE",
            "state": "GA",
            "postal_code": "310054236",
            "telephone_number": "919-648-5096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 RIVERSIDE DR STE 202",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312100818",
            "telephone_number": "478-787-0059"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Tommy Stalnaker Dr Ste 100A",
            "address_purpose": "LOCATION",
            "city": "Warner Robins",
            "state": "GA",
            "postal_code": "310881402",
            "country_code": "US",
            "telephone_number": "855-228-4597",
            "fax_number": "855-428-4597",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAFT",
        "first_name": "JESSICA",
        "middle_name": "KAYE",
        "credential": "DNP-FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-02",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN314274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.