Individual provider Active NPI

Krestin Masters, FNP-C

  • Family Nurse Practitioner
  • Griffin, GA
National Provider Identifier
1679077655
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP336611 Issued in GA
Practice address
1424 N Expressway Ste 121-123
Griffin, GA 30223-1753
Phone
(678) 688-2820
Fax
(770) 467-9868
NPI assigned
Mar 22, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 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 APRN-NP336611 GA Primary

Addresses

Primary practice location

1424 N Expressway Ste 121-123
Griffin, GA 30223-1753

Mailing address

1424 N Expressway Ste 121-123
Griffin, GA 30223-1753
Phone (678) 688-2820

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
I20251103002853 GA Practitioner - Nurse Practitioner 4981955333 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1000 Johnson Fy Rd NE
Atlanta, GA 30342

Northside Hospital Managed Care Dept
905 1000 Johnson Ferry Rd NE
Atlanta, GA 30342-1606

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN-NP336611GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Careconnect Health, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Careconnect Health, Inc. CurrentSince Aug 1, 2025 Accepting new patients

Locations

1424 N Expressway
Ste 121123
Griffin, GA 30223
Phone (678) 688-2820

510 Alston St
Ste B
Richland, GA 31825
Phone (229) 887-3324

Interoperability endpoints

  • Direct secure messaging: kmasters80252@direct.phhs.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1521676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1679077655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 N EXPRESSWAY STE 121-123",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302231753",
            "telephone_number": "678-688-2820",
            "fax_number": "770-467-9868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 N EXPRESSWAY STE 121-123",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302231753",
            "telephone_number": "678-688-2820",
            "fax_number": "770-467-9868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTERS",
        "first_name": "KRESTIN",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-22",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP336611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Griffin, GA

Sources for this page

Verify at the official NPI Registry.