DENISE ALICIA MICK (NPI# 1164064945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164064945 |
| Entity Type | Individual |
| Full Name | DENISE ALICIA MICK |
| Practice Address |
677 Church St Wellstar Kennestone Hospital Marietta GA 30060 |
| Practice Telephone | 6789238877 |
| Mailing Telephone | 6789238877 |
| Enumeration Date | 2019-10-12 |
| Last Update Date | 2019-11-07 |
| NPI Deactivation Date | 10/15/2019 |
| NPI Reactivation Date | 2019-11-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WN0800X |
Registered Nurse Specialization: Neuroscience |
RN152372 | GA | Nursing Service Providers |
| Street Address |
677 CHURCH ST WELLSTAR KENNESTONE HOSPITAL |
| City | MARIETTA |
| State | GA |
| Zip Code | 30060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144845116 | Legacy Center for Spinal Surgery, LLC | Neurological Surgery | 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 | 2020-06-15 |
| 1407477193 | Michael Cynil Daniel | Counselor | 698 N Marietta, Pkwy, Marietta, GA 30060 | 2020-05-04 |
| 1285253401 | Cameron Thomas Kennelly | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne Attn:gme, Marietta, GA 30060 | 2020-04-09 |
| 1922640739 | Jeremiah George Blair | Physician Assistant | 61 Whitcher St Suite 2100, Marietta, GA 30060 | 2019-10-14 |
| 1184283772 | Iora Health Georgia, P.C. | Internal Medicine | 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 | 2019-06-07 |
| 1346703212 | Caitlin Virginia Mueller | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 | 2019-04-08 |
| 1184187205 | Adero Francis | Student in an Organized Health Care Education/Training Program | Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 | 2019-04-08 |
| 1659832749 | Matthew Mozzo | Student in an Organized Health Care Education/Training Program | 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 | 2019-03-29 |
| 1245797430 | La'myia Spentz | Specialist | 109 Anderson St Ne, Suite 608, Marietta, GA 30060 | 2019-02-25 |
| 1447727094 | Klara Lisy | Physician Assistant | 711 Canton Road, Suite 300, Marietta, GA 30060 | 2018-10-31 |
| Find all providers in zip 30060 | ||||
| Taxonomy Code | 163WN0800X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Neuroscience |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083027320 | Wellstar Medical Group, LLC | Registered Nurse | 677 Church St Ne, Marietta, GA 30060-1101 | 2014-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063041101 | Meghan Wetterhall Cantrell | Registered Nurse | 1361 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2020-04-01 |
| 1023666138 | Sherline Sauveur | Registered Nurse | 695 Pownal Ln, Hampton, GA 30228-6385 | 2019-09-01 |
| 1285734004 | Dianne Lynn Gladd | Registered Nurse | #1 Freedom Way, Augusta, GA 30904 | 2006-09-22 |
| 1710521778 | Jessica Russell | Registered Nurse | 1199 Prince Ave, Athens, GA 30606-2797 | 2019-11-03 |
| 1003311580 | Nursing Diagnostics LLC | Registered Nurse | 312 N Davis Dr, #100, Warner Robins, GA 31093 | 2018-03-27 |
| 1780819227 | Barbara Sommerfeld | Registered Nurse | 1841 Clifton Rd Ne, Suite 504, Atlanta, GA 30329-4021 | 2009-05-28 |
| 1164663845 | Marsha A Alexander | Registered Nurse | 980 Woodstock Parkway, Suite 300, Woodstock, GA 30188 | 2009-03-10 |
| 1346314036 | Sandra D Clements | Registered Nurse | 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2006-11-17 |
Please comment or provide details below to improve the information on DENISE ALICIA MICK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.