Jack Anthony Miceli

NP-C | Nurse Practitioner | 5+ years Exp

1825 Martha Berry Blvd Nw, Rome
  Georgia, 30165-1625
762-235-1470
Accepts Medicare Nurse Anesthetist in Rome, Georgia.
Jack Anthony Miceli is a Rome, Georgia based nurse practitioner with 5 years of experience in . He completed his graduation in 2019. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Jack Anthony Miceli is RN242971 in Georgia. His current practice location is 1825 Martha Berry Blvd Nw, Rome. Patients can reach him at 762-235-1470 or can fax him at 706-238-8081. Jack Anthony Miceli is NP-C and his NPI number (Unique professional ID assigned by NPPES) is 1821623232.
Jack Anthony Miceli has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Jack Anthony Miceli speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Jack Anthony Miceli
Specialization: Nurse Practitioner (NP)
Gender:Male
Credentials: NP-C
Experience: 5+ years
Medical School Attended:Other
Graduation Year:2019
Accepts Medicare Assignment:Yes
Practice Address:1825 Martha Berry Blvd Nw, Rome,
Georgia, 30165-1625
Phone:762-235-1470
Fax:706-238-8081
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 6305275439
Enrollment ID: I20200410001201
NPI Number: 1821623232
NPI Enumeration Date: 05 Mar, 2020
NPI Last Update On: 24 Oct, 2023

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jack Anthony Miceli are as mentioned below.
License NumberSpecializationStateStatus
RN242971 GeorgiaPrimary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name with which Jack Anthony Miceli is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Harbin Clinic Llc (0446154231)278
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Jack Anthony Miceli
221 Technology Pkwy Nw,
Rome, Georgia
Zip: 30165-1369
Phone Number: 762-235-1000
Patients can reach Jack Anthony Miceli at 1825 Martha Berry Blvd Nw, Rome, Georgia or can call to book an appointment on 762-235-1470.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.