NAKITA DICKENS (NURSE PRACTITIONER) – Nurse Practitioner, NPI 1124741400

NAKITA DICKENS (NURSE PRACTITIONER) is a healthcare provider. based in Sandy springs, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials NURSE PRACTITIONER. They hold a License No. NP00526 (GA). The NPI Number for NAKITA DICKENS (NURSE PRACTITIONER) is 1124741400

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
NAKITA DICKENS (NURSE PRACTITIONER)
NPI
1124741400
Phone
(404) 419-1165
Address
1100 JOHNSON FERRY RD STE 510
Enumeration Date
22 September 2022
Last Update Date
22 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4048512300
Graduation Year
2020 (6 years ago)
PAC ID
7214306109
Group Practice PAC ID
1557514247
Professional Enrollment ID
I20221215002822
Address ID
GA303424795AT5670XRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for NAKITA DICKENS (NURSE PRACTITIONER)

  • 1100 JOHNSON FERRY RD STE 510

    SANDY SPRINGS, GA 303421743

    Phone: (404) 419-1165

    Type: Mailing

  • 5670 PEACHTREE DUNWOODY RD STE 1100

    ATLANTA, GA 303424795

    Phone: (404) 851-2300

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 140 Open Payments records for all available years, with a total value of $3,405.

Total Amount is formed as General ($3,405) + Research ($0) + Ownership ($0) = $3,405.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($285).

Total Amount

$3,405

General + Research + Ownership

Payments

140

Total payment records

General Amount

$3,405

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2022-12-15

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
I20221215002822INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes368143$0
99213Established patient office or other outpatient visit, 20-29 minutes188112$0
View full utilization report →

Insurance plans in this area (ZIP 30342)

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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: 1557514247View full group profile
NameSpecialtyState
Nurse PractitionerGA
H E M A T O L O G Y/ O N C O L O G YGA
H E M A T O L O G Y/ O N C O L O G YGA
H E M A T O L O G Y/ O N C O L O G YGA
H E M A T O L O G Y/ O N C O L O G YGA
H E M A T O L O G Y/ O N C O L O G YGA
H E M A T O L O G Y/ O N C O L O G YGA
H E M A T O L O G Y/ O N C O L O G YGA
Physician AssistantGA
Physician AssistantGA

Reviews

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Frequently asked questions

Can I cross-check NAKITA DICKENS (NURSE PRACTITIONER) using NPI 1124741400?
NPI 1124741400 belongs to NAKITA DICKENS (NURSE PRACTITIONER); compare other details if you need extra assurance.
Is NAKITA DICKENS (NURSE PRACTITIONER) still an active registrant?
NAKITA DICKENS (NURSE PRACTITIONER) carries an active NPI according to the public dataset.
What kind of doctor is NAKITA DICKENS (NURSE PRACTITIONER)?
NAKITA DICKENS (NURSE PRACTITIONER) is associated with Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Where in Georgia is NAKITA DICKENS (NURSE PRACTITIONER) registered?
Use Sandy Springs, Georgia as the headline location for NAKITA DICKENS (NURSE PRACTITIONER) here.
Does NAKITA DICKENS (NURSE PRACTITIONER) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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