STARR PATRICE DICKERSON FNP-BC
NPI 1790398790
Nurse Practitioner - Family in Smyrna, GA

Q: 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.

Q: What is Starr Dickerson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: 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.

Active since August 28, 2020PECOS EnrolledAccepts Medicare Assignment

2994 ATLANTA RD SE, SMYRNA, GA 30080(770) 435-2178 Get Directions Write a Review

NPPES record last updated: July 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 30, 2024, Aug 28, 2020 (2 updates tracked since 2020).

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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

NPI1790398790

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSTARR PATRICE DICKERSONCredential: FNP-BC

Location Address2994 ATLANTA RD SESmyrna, GA 30080-3655

Mailing Address2994 Atlanta Rd SeSmyrna, GA 30080-3655 · (770) 435-2178

Phone(770) 435-2178

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateAugust 28, 2020

Last NPPES UpdateJuly 30, 20242 updates tracked since enumeration

NPPES CertifiedJuly 30, 2024

✔ NPI 1790398790 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

License✔ Licensed in GA · RN250009

2994 ATLANTA RD SE, Smyrna, GA 30080

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Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID9931631397

PECOS Enrollment IDI20241010002231

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 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.

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 16

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

MRS. YURI AYANA TAYLOR FNP

Nurse Practitioner (Family)