NPI age
— years
Enumerated 2025-06-12
● Active
Type 1 · Individual
Beth Dziczkowski, NURSE PRACTITIONER
Dziczkowski is 1 of 10 nurse practitioner providers in Canton and 1 of 950 in Georgia.
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-06-12
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 950 active nurse practitioner providers in Georgia.
NPI age
0 years
↓ 6 yr below median (6 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
0
36% of peers hold subspecialties
NPI lifetime · 2025 → 2026
2025-06Enumerated in NPPES
2025
2026
Where they practice
Practice location
406 Kings Point Dr
Canton, GA 301155210
Mailing address
406 Kings Point Dr
Canton, GA 301155210
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.