NPI age
5 years
Enumerated 2021-01-26
● Active Type 2 · Organization
Prestige Medical Clinic, Llc
Prestige Medical Clinic, Llc is 1 of 806 nurse practitioner organizations in Georgia.
Primary specialty
Nurse Practitioner
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Dickerson
Owner
Last NPPES update
2021-01-26
Source: monthly bulk 2026-05
How this organization compares
Across 806 active nurse practitioner providers in Georgia.
NPI age
5 years
↓ 6 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2021 → 2026
2021-01Enumerated in NPPES
2021
2026
Where they practice
Primary practice location
4529 Sterling Pointe Dr Nw
Kennesaw, GA 301527321
Mailing address
Po Box 1712
Kennesaw, GA 301568712
Authorized official
Christy Dickerson, AGNP-C
Owner
📞 7063339932
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.