Active NPI
Keesha McCloud
- Homemaker
- Atlanta, GA
National Provider Identifier
1962033563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- License
- 2020-12638
- Practice address
- 2727 Paces Ferry Rd SE Ste 750
Atlanta, GA 30339-4053 - Phone
- (678) 368-2745
- NPI assigned
- Feb 1, 2020
- Last updated
- Aug 17, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Wound Care Registered Nurse | 163WW0000X | 2020-12638 | GA | |
| Adult Companion | 372600000X | 2020-12638 | GA | |
| Homemaker | 376J00000X | 2020-12638 | GA | Primary |
Addresses
Primary practice location
2727 Paces Ferry Rd SE Ste 750
Atlanta, GA 30339-4053
Mailing address
1205 Joslin Path
Douglasville, GA 30134-3732
Phone (470) 471-2821
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | KeeshaMccloud@kmsprivatehomecareservices.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2020-12638 | GA | MD | Wound Care Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KMS Private Homecare Services LLC | Wound Care | Current | Accepting new patients |
| Kingdom Mobile Lab Services LLC | Past | Accepting new patients |
Locations
2727 Paces Ferry Rd SE
Ste 750
Atlanta, GA 30339
Phone (385) 377-9352
Interoperability endpoints
- keeshamccloud@kmsprivatehomecareservices.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Phlebotomy Technician
- Douglasville, GA
- NPI 1700555018
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755388800000",
"number": "1962033563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1205 JOSLIN PATH",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301343732",
"telephone_number": "470-471-2821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2727 PACES FERRY RD SE STE 750",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303394053",
"telephone_number": "678-368-2745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLOUD",
"first_name": "KEESHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-01",
"last_updated": "2025-08-17",
"certification_date": "2025-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "163WW0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Wound Care",
"state": "GA",
"license": "2020-12638",
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "GA",
"license": "2020-12638",
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "GA",
"license": "2020-12638",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "KeeshaMccloud@kmsprivatehomecareservices.com",
"affiliation": "N",
"endpointDescription": "Email Encryption",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2727 Paces Ferry Rd SE Ste 750",
"city": "Atlanta",
"state": "GA",
"country_code": "US",
"postal_code": "303394053",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.