MS. JADELLA AMANDA MICKLER (AGACNP-BC) – Nurse Practitioner, NPI 1891265021
Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
9,658 NURSE PRACTITIONER in GA
Provider Addresses for MS. JADELLA AMANDA MICKLER (AGACNP-BC)
1968 Peachtree Rd NW
Atlanta, GA 303091281
Phone: (470) 788-1010
Type: Location
55 Whitcher St NE Ste 130
Marietta, GA 300601156
Phone: (770) 428-0462
Fax: (770) 427-8001
Type: Location
2439 GRAHAM RD
GRAY, GA 310324925
Phone: (478) 733-4576
Type: Mailing
625 19th St S
Birmingham, AL 352331900
Phone: (205) 996-9571
Type: Location
625, 19th Street South, Phelan Park Historic District, Five Points South, Birmingham, Jefferson County, Alabama, 35233, United States
BIRMINGHAM, AL 352331900
Phone: (205) 996-9571
Type: Location
1968 PEACHTREE RD NW
ATLANTA, GA 303091281
Phone: (470) 788-1010
Type: Location
213 S JEFFERSON ST STE 1006
ROANOKE, VA 240111713
Phone: (540) 224-5353
Type: Mailing
2001 CRYSTAL SPRING AVE SW STE 201
ROANOKE, VA 240142465
Phone: (540) 853-0100
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2025-10-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 6 Medicare enrollment records; no due dates published yet.
Enrollment records
6
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 |
|---|---|---|---|---|
| I20190320003233 | I | Nurse Practitioner | AL | TBD |
| I20200306001337 | I | Nurse Practitioner | GA | TBD |
| I20240615000383 | I | Nurse Practitioner | MO | TBD |
| I20240807000836 | I | Nurse Practitioner | WA | TBD |
| I20250429003491 | I | Nurse Practitioner | VA | TBD |
| I20251023003194 | I | Nurse Practitioner | OK | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 119 | 48 | $0 |
| 99497 | Advance care planning, first 30 minutes | 81 | 46 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 77 | 69 | $0 |
Insurance plans in this area (ZIP 30309)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | OK | |
| - | OK | |
| Physician Assistant | OK | |
| Orthopedic Surgery | OK | |
| - | OK | |
| Family Practice, General Surgery, Osteopathic Manipulative Medicine | OK | |
| - | OK | |
| H O S P I T A L I S T | OK | |
| H E M A T O L O G Y/ O N C O L O G Y | OK | |
| - | OK |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.