MRS. CHENOA DICKERSON FNP-C
NPI 1063002145
Nurse Practitioner - Family in Rome, GA
About Mrs. Chenoa Dickerson Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. CHENOA DICKERSON FNP-C (NPI 1063002145) is an individual family provider in Rome, Georgia, licensed in Georgia (APRN-NP248353) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Dalton, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Chenoa Dickerson Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Chenoa Dickerson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lawrenceville, GA 30046
- Reassigned Medicare billing, Georgia enrollment
- 58 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30161 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROME, GA 30161
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Chenoa Dickerson's NPI number?
The NPI number for Chenoa Dickerson is 1063002145. It was assigned to this individual provider in the NPPES registry on January 22, 2021.
Where is Chenoa Dickerson located?
Chenoa Dickerson practices at 18 Riverbend Dr SW Ste 118, Rome, GA 30161. The listed phone number is (706) 962-3642.
What is Chenoa Dickerson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Chenoa Dickerson enrolled in Medicare?
Yes. Chenoa Dickerson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Chenoa Dickerson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Chenoa Dickerson reassigns Medicare benefits to Georgia Pain And Wellness Center (Lawrenceville, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Chenoa Dickerson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Chenoa Dickerson was last updated on October 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Mrs. Chenoa Dickerson, FNP-C · NPI 1063002145
Family physician in Rome, Georgia. Individual provider, active in the CMS NPPES registry since January 22, 2021.
## Identity
- **NPI:** 1063002145 (Entity type: Individual)
- **Enumerated:** January 22, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APRN-NP248353 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 18 RIVERBEND DR SW STE 118, Rome, GA 30161-6019
- **Phone:** (706) 962-3642
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Georgia Pain And Wellness Center (NPI 1356781181, Lawrenceville, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** October 16, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1063002145) · Data from the CMS NPPES public registry.