MARLA KRISTEN MIKELL FNP-C
NPI 1477335891
Nurse Practitioner in Vidalia, GA
About Marla Kristen Mikell Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARLA KRISTEN MIKELL FNP-C (NPI 1477335891) is an individual nurse practitioner in Vidalia, Georgia, licensed in Georgia (RN275033) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS, is affiliated with Memorial Health Meadows Hospital, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Marla Kristen Mikell Fnp-c 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.
Medicare Billing Reassignment
Medicare enrollment records show Marla Mikell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hiram, GA 30141
- Reassigned Medicare billing, Georgia enrollment
- 551 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.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Memorial Health Meadows Hospital
Acute Care Hospitals · Vidalia, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30474 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 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
VIDALIA, GA 30474
VIDALIA, GA 30474
VIDALIA, GA 30474
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 Marla Mikell's NPI number?
The NPI number for Marla Mikell is 1477335891. It was assigned to this individual provider in the NPPES registry on October 19, 2023. The provider is also known as Marla Kristen Mikell.
Where is Marla Mikell located?
Marla Mikell practices at 101 Harris Industrial Blvd Ste A, Vidalia, GA 30474. The listed phone number is (912) 535-3500.
What is Marla Mikell's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Marla Mikell enrolled in Medicare?
Yes. Marla Mikell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Marla Mikell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marla Mikell reassigns Medicare benefits to Peachtree Immediate Care Fp, LLC (Hiram, 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 Marla Mikell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Marla Mikell affiliated with any hospitals?
According to CMS data, Marla Mikell is affiliated with Memorial Health Meadows Hospital.
When was this NPI record last updated?
The NPPES record for Marla Mikell was last updated on November 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Marla Kristen Mikell, FNP-C · NPI 1477335891
Nurse Practitioner physician in Vidalia, Georgia. Individual provider, active in the CMS NPPES registry since October 19, 2023.
## Identity
- **NPI:** 1477335891 (Entity type: Individual)
- **Enumerated:** October 19, 2023
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** RN275033 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 101 HARRIS INDUSTRIAL BLVD STE A, Vidalia, GA 30474-8852
- **Phone:** (912) 535-3500
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Peachtree Immediate Care Fp, LLC (NPI 1437194156, Hiram, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** November 6, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1477335891) · Data from the CMS NPPES public registry.