JACK ANTHONY MICELI NP-C
NPI 1821623232
Nurse Practitioner in Rome, GA
About Jack Anthony Miceli Np-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACK ANTHONY MICELI NP-C (NPI 1821623232) is an individual nurse practitioner in Rome, Georgia, licensed in Georgia (RN242971) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Atrium Health Floyd Medical Center, 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
Jack Anthony Miceli Np-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 Jack Miceli reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Rome, GA 30165
- Reassigned Medicare billing, Georgia enrollment
- 332 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 7
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.
Atrium Health Floyd Medical Center
Acute Care Hospitals · Rome, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30165 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
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 Jack Miceli's NPI number?
The NPI number for Jack Miceli is 1821623232. It was assigned to this individual provider in the NPPES registry on March 5, 2020.
Where is Jack Miceli located?
Jack Miceli practices at 1825 Martha Berry Blvd NW, Rome, GA 30165. The listed phone number is (762) 235-1470.
What is Jack Miceli's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Jack Miceli enrolled in Medicare?
Yes. Jack Miceli 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 Jack Miceli's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jack Miceli reassigns Medicare benefits to Harbin Clinic, LLC (Rome, 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 Jack Miceli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jack Miceli accept?
Health plans from Alliant Health Plans, Inc., Oscar Health and Oscar Insurance Company list Jack Miceli 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.
Is Jack Miceli affiliated with any hospitals?
According to CMS data, Jack Miceli is affiliated with Atrium Health Floyd Medical Center.
When was this NPI record last updated?
The NPPES record for Jack Miceli was last updated on October 24, 2023. 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.
# Jack Anthony Miceli, NP-C · NPI 1821623232
Nurse Practitioner physician in Rome, Georgia. Individual provider, active in the CMS NPPES registry since March 5, 2020.
## Identity
- **NPI:** 1821623232 (Entity type: Individual)
- **Enumerated:** March 5, 2020
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** RN242971 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1825 MARTHA BERRY BLVD NW, Rome, GA 30165-1625
- **Phone:** (762) 235-1470 · **Fax:** (706) 238-8081
## 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:** Harbin Clinic, LLC (NPI 1679599088, Rome, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** October 24, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1821623232) · Data from the CMS NPPES public registry.