MALIKATA NICOLETTE DANO NP
NPI 1700506144
Nurse Practitioner - Psychiatric/Mental Health in Villa Rica, GA

Q: What is Malikata Dano's NPI number?

The NPI number for Malikata Dano is 1700506144. It was assigned to this individual provider in the NPPES registry on August 29, 2022.

Q: What is Malikata Dano's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Malikata Dano 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 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.

Active since August 29, 2022PECOS EnrolledAccepts Medicare Assignment

101 QUARTZ DR STE 103B, VILLA RICA, GA 30180(770) 812-3530(770) 812-3579 Get Directions Write a Review

NPPES record last updated: October 10, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 10, 2025, Feb 8, 2024, Nov 5, 2023 and 2 more (5 updates tracked since 2022).

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About Malikata Nicolette Dano Np NPPES

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

MALIKATA NICOLETTE DANO NP (NPI 1700506144) is an individual psychiatric/mental health provider in Villa Rica, Georgia, licensed in Georgia (APRN-NP195658) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1700506144

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMALIKATA NICOLETTE DANOCredential: NP

Location Address101 QUARTZ DR STE 103BVilla Rica, GA 30180-3201

Mailing Address5778 Wembley DrDouglasville, GA 30135-1875 · (404) 852-1333

Phone(770) 812-3530

Fax(770) 812-3579

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateAugust 29, 2022

Last NPPES UpdateOctober 10, 20255 updates tracked since enumeration

NPPES CertifiedOctober 10, 2025

✔ NPI 1700506144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in GA · APRN-NP195658

101 QUARTZ DR STE 103B, Villa Rica, GA 30180

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Secondary Practice Locations 2

Location 15778 Wembley DrDouglasville, GA 30135-1875 · Phone (404) 852-1333

Location 220 Herrell RdVilla Rica, GA 30180-5527 · Phone (770) 812-3530

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

Malikata Nicolette Dano 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 ID4183074610

PECOS Enrollment IDI20231227000219

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 Reassignments

Medicare enrollment records show Malikata Dano reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tmc-Behavioral Health Of West Georgia

Same address

Geriatric Psychiatry

101 QUARTZ DR STE 103B
Villa Rica, GA 30180

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

NPI 1356795462 (770) 812-3530

Empowering Healthcare Services

10 mi

Clinical

5778 WEMBLEY DR
Douglasville, GA 30135

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

NPI 1316682552 (404) 852-1333

Fusioncare LLC

42 mi

Psychiatric/Mental Health

2475 NORTHWINDS PKWY STE 200
Alpharetta, GA 30009

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

NPI 1972496057 (678) 702-4488

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 30180 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 12

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

MS. APRIL MONIQUE MCCONICO

Counselor