Jack Anthony Miceli
NP-C | Nurse Practitioner | 6+ years Exp
1825 Martha Berry Blvd Nw, Rome
Georgia, 30165-1625
762-235-1470
Jack Anthony Miceli is a Rome, Georgia based nurse practitioner with 6 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: | 6+ 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 Number | Specialization | State | Status | |
| RN242971 | | Georgia | Primary | |
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.
Comments/ Reviews:
Patients can read all the reviews posted for Jack Anthony Miceli below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Jack Anthony Miceli. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.