KISHA MESHUN PEACE (AGNP-C) – Nurse Practitioner, NPI 1528526548
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
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Provider Addresses for KISHA MESHUN PEACE (AGNP-C)
Eagles Landing Parkway, Stockbridge, Henry County, Georgia, 30281, United States
STOCKBRIDGE, GA 302815085
Phone: (678) 604-1045
Fax: (678) 604-4175
Type: Location
508 BETHELVIEW DR
HAMPTON, GA 302284825
Phone: (850) 624-5436
Type: Mailing
5126 HOSPITAL DR NE STE 102
COVINGTON, GA 300142566
Phone: (770) 385-4453
Type: Location
7823 Spivey Station Blvd Ste 360
Jonesboro, GA 302362886
Phone: (770) 741-1750
Fax: (770) 741-1755
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $244.
Total Amount is formed as General ($244) + Research ($0) + Ownership ($0) = $244.
Last reported payment date: 2024-11-08 • Largest payer in this snapshot: ViiV Healthcare Company ($183).
Total Amount
$244
General + Research + Ownership
Payments
4
Total payment records
General Amount
$244
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ViiV Healthcare Company | $183 |
| GlaxoSmithKline, LLC. | $61 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-10-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20201022001836 | I | Nurse Practitioner | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30281)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | GA | |
| Nurse Practitioner | GA | |
| Critical Care (Intensivists), Pulmonary Disease, Sleep Medicine | GA | |
| - | GA | |
| Nurse Practitioner | GA | |
| - | GA | |
| General Surgery | GA | |
| Surgical Oncology | WA | |
| R H E U M A T O L O G Y | GA | |
| Pulmonary Disease, Critical Care (Intensivists), Internal Medicine, Pediatric Medicine | GA |
Reviews
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