| Nikeisha Clevia Oliver, | |
|
1227 Rockbridge Rd, Stone Mountain, GA 30087-3064 | |
| (770) 413-1476 | |
| Not Available |
| Full Name | Nikeisha Clevia Oliver |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 1227 Rockbridge Rd, Stone Mountain, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043080641 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN-NP228269 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tlc Of Georgia Llc | 5496924490 | 56 |
| Entity Name | Tlc Of Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750677241 PECOS PAC ID: 5496924490 Enrollment ID: O20110809000175 |
| Mailing Address | Practice Location Address |
|---|---|
| Nikeisha Clevia Oliver, Po Box 932958, Cleveland, OH 44193-0028 Ph: () - | Nikeisha Clevia Oliver, 1227 Rockbridge Rd, Stone Mountain, GA 30087-3064 Ph: (770) 413-1476 |
Wendy Woodward Schaal, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5320 Memorial Dr, Stone Mountain, GA 30083 Phone: 404-508-6499 | |
Julie Noelle Knisely, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5582 Memorial Dr, Stone Mountain, GA 30083 Phone: 404-298-8998 | |
Andrea Zmaj, MSN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5674 Memorial Dr, Stone Mountain, GA 30083 Phone: 770-322-6161 | |
Mr. Justin Stewart Kitchens, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5405 Memorial Dr Ste D, Stone Mountain, GA 30083 Phone: 404-296-3800 Fax: 404-297-8753 | |
Marc Elie Cayemitte, AGNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5462 Memorial Dr Ste 101, Stone Mountain, GA 30083 Phone: 470-544-0854 | |
Sherrie Melton, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1183 S Hairston Rd Ste A, Stone Mountain, GA 30088 Phone: 404-296-8858 |