ELIZABETH ANNE DYKEMAN (FNP) – Family Health Clinical Nurse Specialist, NPI 1013337690

ELIZABETH ANNE DYKEMAN (FNP) is a healthcare provider. based in Sautee nacoochee, Georgia. specializing in Family Health Clinical Nurse Specialist. They hold the professional credentials FNP. They hold a License No. RN204806 (GA). The NPI Number for ELIZABETH ANNE DYKEMAN (FNP) is 1013337690

Main info

Female
13 Years Of Experience
Name
ELIZABETH ANNE DYKEMAN (FNP)
NPI
1013337690
Phone
(706) 878-1376
Address
3035 HIGHWAY 17
Enumeration Date
22 April 2014
Last Update Date
22 April 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7708129666
Graduation Year
2013 (13 years ago)
PAC ID
8224252929
Group Practice PAC ID
4587676945
Professional Enrollment ID
I20140619002472
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

Provider Addresses for ELIZABETH ANNE DYKEMAN (FNP)

  • 3035 HIGHWAY 17

    SAUTEE NACOOCHEE, GA 305713013

    Phone: (706) 878-1376

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2014-06-19

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140619002472INurse PractitionerGATBD

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.

Verify on CMS Revalidation Lookup Tool

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 30571)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4587676945View full group profile
NameSpecialtyState
Hospitalist, Internal MedicinePA
H O S P I T A L I S TGA
Hospitalist, Internal MedicineGA
Hospitalist, Internal MedicineWI
Nurse PractitionerNC
General PracticeSC
Nurse PractitionerAL
Family PracticeGA
Nurse PractitionerGA
Internal Medicine, HospitalistUT

Reviews

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Frequently asked questions

Where can patients find ELIZABETH ANNE DYKEMAN (FNP)'s NPI?
You can confirm ELIZABETH ANNE DYKEMAN (FNP) with NPI 1013337690; it appears in the national provider directory.
Is ELIZABETH ANNE DYKEMAN (FNP)'s NPI currently valid?
The extract we use shows ELIZABETH ANNE DYKEMAN (FNP) as active.
Does ELIZABETH ANNE DYKEMAN (FNP) list a primary specialty?
If you are matching referrals, note Family Health Clinical Nurse Specialist for ELIZABETH ANNE DYKEMAN (FNP). Clinical services aligned with this taxonomy classification.
Where is ELIZABETH ANNE DYKEMAN (FNP)'s primary listing?
We display Sautee Nacoochee, Georgia because that is what the record indicates for ELIZABETH ANNE DYKEMAN (FNP).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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