Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kaylisa Jane Peguero, NP

Individual provider Nurse Practitioner · NPI 1679387666

Kaylisa Jane Peguero, NP is a Nurse Practitioner in Atlanta, Georgia. Graduated from Emory University School of Medicine in 2024, 2 years ago. Practices with The Emory Clinic Inc, a 3,500-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
2
Trained at
Emory University School of Medicine
Licensed in
GA
In the registry since
2025
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

550 Peachtree St NE
Atlanta, GA 30308-2212
Phone: (770) 334-1714
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN323827 (GA)
Nurse Practitioner Taxonomy 363L00000X · Licence APRN-NP323827 (GA)

Record details

NPI number1679387666
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedFebruary 3, 2025
Last updated in NPPESOctober 24, 2025
Certification dateOctober 24, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolEMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice The Emory Clinic Inc — 3500 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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