Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prestige Medical Clinic, LLC

Organization Adult Health Nurse Practitioner · NPI 1881284511

Prestige Medical Clinic, LLC is an Adult Health Nurse Practitioner in Kennesaw, Georgia. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4529 Sterling Pointe Dr NW
Kennesaw, GA 30152-7321
Phone: (706) 333-9932
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X

Record details

NPI number1881284511
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christy Dickerson — Owner · (706) 333-9932
NPI enumeratedJanuary 26, 2021
Last updated in NPPESJanuary 26, 2021
Certification dateJanuary 7, 2021
Mailing addressPo Box 1712, Kennesaw, GA 30156-8712

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