PRESTIGE MEDICAL CLINIC, LLC
NPI 1881284511
Nurse Practitioner - Adult Health in Kennesaw, GA

Q: What is Prestige Medical Clinic, LLC's NPI number?

The NPI number for Prestige Medical Clinic, LLC is 1881284511. It was assigned to this organization in the NPPES registry on January 26, 2021.

Q: What is Prestige Medical Clinic, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Active since January 26, 2021

4529 STERLING POINTE DR NW, KENNESAW, GA 30152(706) 333-9932 Get Directions Write a Review

NPPES record last updated: January 26, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Prestige Medical Clinic, Llc NPPES

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

PRESTIGE MEDICAL CLINIC, LLC (NPI 1881284511) is a healthcare organization registered as an adult health in Kennesaw, Georgia and active in the NPI registry since January 2021. The organization lists Christy Dickerson, Owner, as its authorized official.

NPPES Registry Identity

NPI1881284511

Entity TypeOrganization

Primary Taxonomy363LA2200X

Legal Business NamePRESTIGE MEDICAL CLINIC, LLC

Location Address4529 STERLING POINTE DR NWKennesaw, GA 30152-7321

Mailing AddressPo Box 1712Kennesaw, GA 30156-8712

Phone(706) 333-9932

Organization SubpartNo

Authorized OfficialChristy DickersonOwner · (706) 333-9932

Enumeration DateJanuary 26, 2021

NPPES CertifiedJanuary 7, 2021

✔ NPI 1881284511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

4529 STERLING POINTE DR NW, Kennesaw, GA 30152

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Prestige Medical Clinic, LLC's NPI number?

The NPI number for Prestige Medical Clinic, LLC is 1881284511. It was assigned to this organization in the NPPES registry on January 26, 2021.

Where is Prestige Medical Clinic, LLC located?

Prestige Medical Clinic, LLC is located at 4529 Sterling Pointe Dr NW, Kennesaw, GA 30152. The listed phone number is (706) 333-9932.

What is Prestige Medical Clinic, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Prestige Medical Clinic, LLC was last updated on January 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.