KEISHA DAMORLEY FERGUSON FNP-BC
NPI 1639035413
Nurse Practitioner - Family in Covington, GA

Active since December 24, 2025
1114 ELM STREET NORTHEAST, SUITE H, COVINGTON, GA 30014(404) 453-6561 Get Directions Write a Review

NPPES record last updated: December 24, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Keisha Damorley Ferguson Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEISHA DAMORLEY FERGUSON FNP-BC (NPI 1639035413) is an individual family provider in Covington, Georgia, licensed in Georgia (2025087781) and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1639035413
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKEISHA DAMORLEY FERGUSONCredential: FNP-BC
Location Address1114 ELM STREET NORTHEAST, SUITE HCovington, GA 30014
Mailing Address35 Terrell LnCovington, GA 30014-6904 · (678) 698-7387
Sole ProprietorYes
Enumeration DateDecember 24, 2025
NPPES CertifiedDecember 23, 2025
✔ NPI 1639035413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · 2025087781
1114 ELM STREET NORTHEAST, Covington, GA 30014

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keisha Ferguson's NPI number?

The NPI number for Keisha Ferguson is 1639035413. It was assigned to this individual provider in the NPPES registry on December 24, 2025.

Where is Keisha Ferguson located?

Keisha Ferguson practices at 1114 Elm Street Northeast Suite H, Covington, GA 30014. The listed phone number is (404) 453-6561.

What is Keisha Ferguson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Keisha Ferguson was last updated on December 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.