NIKEISHA CLEVIA OLIVER
NPI 1043080641
Nurse Practitioner - Family in Stone Mountain, GA

Q: What is Nikeisha Oliver's NPI number?

The NPI number for Nikeisha Oliver is 1043080641. It was assigned to this individual provider in the NPPES registry on January 4, 2024.

Q: What is Nikeisha Oliver's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Nikeisha Oliver was last updated on October 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 04, 2024PECOS Enrolled

1227 ROCKBRIDGE RD, STONE MOUNTAIN, GA 30087(770) 413-1476 Get Directions Write a Review

NPPES record last updated: October 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 10, 2025, Mar 21, 2025, Oct 8, 2024 and 1 more (4 updates tracked since 2024).

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About Nikeisha Clevia Oliver NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NIKEISHA CLEVIA OLIVER (NPI 1043080641) is an individual family provider in Stone Mountain, Georgia, licensed in Georgia (APRN-NP228269) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1043080641

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameNIKEISHA CLEVIA OLIVER

Location Address1227 ROCKBRIDGE RDStone Mountain, GA 30087-3064

Mailing AddressPo Box 932958Cleveland, OH 44193-0028

Phone(770) 413-1476

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateJanuary 4, 2024

Last NPPES UpdateOctober 10, 20254 updates tracked since enumeration

NPPES CertifiedOctober 10, 2025

✔ NPI 1043080641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in GA · APRN-NP228269

1227 ROCKBRIDGE RD, Stone Mountain, GA 30087

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nikeisha Clevia Oliver is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID547781254

PECOS Enrollment IDI20250311001726

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30087 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WALTER MONROE MASSEY III RPH

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)