NICKETA BERNARD NP
NPI 1184461303
Nurse Practitioner in Fayetteville, GA

Q: What is Nicketa Bernard's NPI number?

The NPI number for Nicketa Bernard is 1184461303. It was assigned to this individual provider in the NPPES registry on July 15, 2024.

Q: What is Nicketa Bernard's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicketa Bernard was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 July 15, 2024PECOS EnrolledAccepts Medicare Assignment

1255 HIGHWAY 54 W, FAYETTEVILLE, GA 30214(770) 716-0051 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 26, 2026, Apr 30, 2026, Apr 20, 2026 and 2 more (5 updates tracked since 2024).

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About Nicketa Bernard Np NPPES

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

NICKETA BERNARD NP (NPI 1184461303) is an individual nurse practitioner in Fayetteville, Georgia, licensed in Georgia (APRN-NP319192) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Atlanta, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1184461303

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameNICKETA BERNARDCredential: NP

Location Address1255 HIGHWAY 54 WFayetteville, GA 30214-4526

Mailing Address1752 Misselthrush LnMcdonough, GA 30253-3083 · (919) 928-3644

Phone(770) 716-0051

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJuly 15, 2024

Last NPPES UpdateAugust 26, 20265 updates tracked since enumeration

NPPES CertifiedAugust 26, 2026

✔ NPI 1184461303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in GA · APRN-NP319192

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License RN319192 (GA)

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License APRN-NP319192 (GA)

1255 HIGHWAY 54 W, Fayetteville, GA 30214

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Secondary Practice Location 1

Location 180 Jesse Hill Jr Dr SEAtlanta, GA 30303-3050 · Phone (404) 616-1000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicketa Bernard Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557825734

PECOS Enrollment IDI20260709000137

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.

Medicare Billing Reassignment

Medicare enrollment records show Nicketa Bernard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Piedmont Cardiology Of Atlanta, LLC

25 mi

Cardiovascular Disease

275 COLLIER ROAD, SUITE 300
Atlanta, GA 30309

Reassigned Medicare billing, Georgia enrollment
539 clinicians in this Medicare group

NPI 1275729691 (404) 605-2800

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 30214 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 20

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

DR. ROBIN LOWMAN WHITE

Emergency Medicine