MRS. CHENOA DICKERSON (FNP-C) – Family Nurse Practitioner, NPI 1063002145
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,658 NURSE PRACTITIONER in GA
Provider Addresses for MRS. CHENOA DICKERSON (FNP-C)
455 PHILIP BLVD STE 140
LAWRENCEVILLE, GA 300468768
Phone: (706) 962-3642
Type: Mailing
18 RIVERBEND DR SW STE 118
ROME, GA 301616019
Phone: (706) 962-3642
Type: Location
63 ROBIN RD
ADAIRSVILLE, GA 301034600
Phone: (706) 669-5243
Type: Mailing
1504 N THORNTON AVE STE 103
DALTON, GA 307208394
Phone: (706) 510-0002
Type: Location
1504 N Thornton Ave Ste 103
Dalton, GA 307208394
Phone: (706) 510-0002
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 56 Open Payments records for all available years, with a total value of $2,143.
Total Amount is formed as General ($2,143) + Research ($0) + Ownership ($0) = $2,143.
Last reported payment date: 2024-12-07 • Largest payer in this snapshot: Medtronic, Inc. ($1,343).
Total Amount
$2,143
General + Research + Ownership
Payments
56
Total payment records
General Amount
$2,143
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $1,343 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | $361 |
| Stryker Corporation | $150 |
| Vertos Medical, Inc. | $128 |
| Curonix LLC | $81 |
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: 2022-04-07
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 |
|---|---|---|---|---|
| I20220407000986 | 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 30046)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Interventional Pain Management | MS | |
| Nurse Practitioner | GA | |
| Physician Assistant | GA | |
| Neurology, Pain Management, Pain Management | TN | |
| Physician Assistant | GA | |
| Anesthesiology, Pain Management | GA | |
| Nurse Practitioner | GA |
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