NICHOLE JEANETTE PRIDEMORE (NP) – Nurse Practitioner, NPI 1376765214

Nurse Practitioner

NICHOLE JEANETTE PRIDEMORE (NP) is a healthcare provider. based in Cumming, Georgia. specializing in Nurse Practitioner. They hold the professional credentials NP. They hold a License No. 303269 (OH). The NPI Number for NICHOLE JEANETTE PRIDEMORE (NP) is 1376765214

Main info

Female

Sole Proprietor

24 Years Of Experience

Accepts Medicare Assignment

Name

NICHOLE JEANETTE PRIDEMORE (NP)

NPI

1376765214

Phone

(678) 455-2800

Address

3850 WINDERMERE PKWY

Enumeration Date

2 May 2007

Last Update Date

5 June 2023

Doctor Profile

Medical School Name

OTHER

Secondary Phone

6784552800

Graduation Year

2002 (24 years ago)

PAC ID

9335272632

Group Practice PAC ID

9638343924

Professional Enrollment ID

I20170720001094

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience85

Completeness75

Years active:19State licenses:3Digital endpointsOther names

Provider Addresses for NICHOLE JEANETTE PRIDEMORE (NP)

3850 WINDERMERE PKWY
STE 105
CUMMING, GA 300417002
Phone: (678) 455-2800
Fax: (770) 888-9998
Type: Mailing
409 WOODRUFF XING # X-ING
WOODSTOCK, GA 301896148
Phone: (419) 290-6855
Type: Mailing
1 LETTERMAN DR STE C3500
SAN FRANCISCO, CA 941291494
Phone: (415) 612-1900
Type: Location
530 Lytton Ave
Palo Alto, CA 943011556
Phone: (650) 380-3630
Type: Location

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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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 30041)

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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: 9638343924View full group profile

Name	Specialty	State
DR. SUZANNE DIMPLE CLARKE (M.D.)	Family Practice	GA
GAIL L HARTMAN	Nurse Practitioner	NC
MRS. KATY HANAFORD (FNP-C)	Nurse Practitioner	GA
DR. PREM KUMAR (M.D.)	Internal Medicine	GA
ANJALI C DUA (M.D.)	Internal Medicine	GA
DR. DAWN D SMILEY-BYRD (MD)	Internal Medicine, Endocrinology	GA
DR. ALAN HARVEY KRAMER (M.D.)	-	GA
MARK OLTERMANN (MD)	-	NV
HINA ASLAM (M.D.)	N E U R O L O G Y	TX
SAPNA BAMRAH MORRIS (M.D.)	-	GA

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Frequently asked questions

Where can patients find NICHOLE JEANETTE PRIDEMORE (NP)'s NPI?

You can confirm NICHOLE JEANETTE PRIDEMORE (NP) with NPI 1376765214; it appears in the national provider directory.

Is NICHOLE JEANETTE PRIDEMORE (NP) active in the national directory?

NICHOLE JEANETTE PRIDEMORE (NP)'s public NPI profile is in an active state.

What does NICHOLE JEANETTE PRIDEMORE (NP) treat or focus on?

Patients typically see NICHOLE JEANETTE PRIDEMORE (NP) under the specialty Nurse Practitioner. Clinical services aligned with this taxonomy classification.

What location metadata exists for NICHOLE JEANETTE PRIDEMORE (NP)?

The page summarizes Cumming, Georgia for NICHOLE JEANETTE PRIDEMORE (NP); expand the address list for detail.

Does Medicare enrollment show here?

Medicare enrollment screens are separate from the basic NPI extract shown here.