STARR PATRICE DICKERSON FNP-BC
NPI 1790398790
Nurse Practitioner - Family in Smyrna, GA
About Starr Patrice Dickerson Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STARR PATRICE DICKERSON FNP-BC (NPI 1790398790) is an individual family provider in Smyrna, Georgia, licensed in Georgia (RN250009) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Starr Patrice Dickerson Fnp-bc 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 Reassignments
3Medicare enrollment records show Starr Dickerson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Norcross, GA 30092
- Reassigned Medicare billing, Georgia enrollment
- 5 clinicians in this Medicare group
Rockville, MD 20854
- Reassigned Medicare billing, Georgia enrollment
- 350 clinicians in this Medicare group
Spring, TX 77373
- Reassigned Medicare billing, Georgia enrollment
- 113 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 30080 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 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SMYRNA, GA 30080
SMYRNA, GA 30080
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 Starr Dickerson's NPI number?
The NPI number for Starr Dickerson is 1790398790. It was assigned to this individual provider in the NPPES registry on August 28, 2020.
Where is Starr Dickerson located?
Starr Dickerson practices at 2994 Atlanta Rd SE, Smyrna, GA 30080. The listed phone number is (770) 435-2178.
What is Starr Dickerson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Starr Dickerson enrolled in Medicare?
Yes. Starr Dickerson 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 organizations bill Medicare for Starr Dickerson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Starr Dickerson reassigns Medicare benefits to 3 organizations: Radiant Family Practice LLC (Norcross, GA), Minuteclinic LLC (Rockville, MD) and Primary Care PLLC (Spring, TX). Each 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 Starr Dickerson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Starr Dickerson accept?
Health plans from CareSource, CareSource (Common Ground Healthcare) and Oscar Health list Starr Dickerson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Starr Dickerson was last updated on July 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Starr Patrice Dickerson, FNP-BC · NPI 1790398790
Family physician in Smyrna, Georgia. Individual provider, active in the CMS NPPES registry since August 28, 2020.
## Identity
- **NPI:** 1790398790 (Entity type: Individual)
- **Enumerated:** August 28, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN250009 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 2994 ATLANTA RD SE, Smyrna, GA 30080-3655
- **Phone:** (770) 435-2178
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Radiant Family Practice LLC (NPI 1326366154, Norcross, GA); Minuteclinic LLC (NPI 1134191836, Rockville, MD); Primary Care PLLC (NPI 1770354763, Spring, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** July 30, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1790398790) · Data from the CMS NPPES public registry.