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MRS. CHENOA DICKERSON FNP-C
NPI 1063002145
Nurse Practitioner - Family in Rome, GA

Active since January 22, 2021PECOS Enrolled
18 RIVERBEND DR SW STE 118, ROME, GA 30161(706) 962-3642 Get Directions Write a Review

NPPES record last updated: October 16, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 31, 2023, Jan 22, 2021 (2 updates tracked since 2021).

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

NPI1063002145
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. CHENOA DICKERSONCredential: FNP-C
Location Address18 RIVERBEND DR SW STE 118Rome, GA 30161-6019
Mailing Address455 Philip Blvd Ste 140Lawrenceville, GA 30046-8768 · (706) 962-3642
Phone(706) 962-3642
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 22, 2021
Last NPPES UpdateOctober 16, 20252 updates tracked since enumeration
NPPES CertifiedOctober 16, 2025
✔ NPI 1063002145 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
Licenses✔ Licensed in GA · APRN-NP248353✔ Licensed in GA · RN248353
18 RIVERBEND DR SW STE 118, Rome, GA 30161
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Secondary Practice Location 1

Location 11504 N Thornton Ave Ste 103Dalton, GA 30720-8394 · Phone (706) 510-0002

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Chenoa Dickerson Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3072909654
PECOS Enrollment IDI20220407000986
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 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.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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

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

GEORGIA PAIN AND WELLNESS CENTER
Pain Medicine (Interventional Pain Medicine)
18 RIVERBEND DR SW STE 118
ROME, GA 30161
Floyd County (770) 962-3642

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.

When was this NPI record last updated?

The NPPES record for Chenoa Dickerson was last updated on October 16, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.