Erica Nicole Neely, FNP-C is a medicare enrolled "Nurse Practitioner - Family" physician in Conyers, Georgia. Her current practice location is
1039 E Freeway Dr Se, Conyers, Georgia. You can reach out to her office (for appointments etc.) via phone at
(833) 523-0906.
Erica Nicole Neely is licensed to practice in Georgia (license number RN267721) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1710627948.
Physician's Profile
Full Name | Erica Nicole Neely |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 1039 E Freeway Dr Se, Conyers, Georgia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1710627948
- Provider Enumeration Date: 03/29/2022
- Last Update Date: 09/02/2025
Medicare PECOS Information:
- PECOS PAC ID: 9234505181
- Enrollment ID: I20221018000172
Medical Identifiers
Medical identifiers for Erica Nicole Neely such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710627948 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207QA0505X | Family Medicine - Adult Medicine | RN267721 (Georgia) | Secondary |
363LF0000X | Nurse Practitioner - Family | RN267721 (Georgia) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Erica Nicole Neely allows following entities to bill medicare on her behalf.
Entity Name | Family Practice Of Conyers Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1720146301 PECOS PAC ID: 0244227387 Enrollment ID: O20040429000552 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Erica Nicole Neely is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Erica Nicole Neely, FNP-C 60 Tulip Poplar Way, Covington, GA 30016-5545 Ph: (228) 334-1213 | Erica Nicole Neely, FNP-C 1039 E Freeway Dr Se, Conyers, GA 30094-5965 Ph: (833) 523-0906 |
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