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

Beth Dziczkowski, NURSEPRACTITIONER

Individual provider Acute Care Nurse Practitioner · NPI 1134014657

Beth Dziczkowski, NURSEPRACTITIONER is a Nurse Practitioner in Canton, Georgia. Qualified in 2025, 1 year ago. Practices with North Atlanta Professional Services LLC, a 423-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
1
Licensed in
GA
In the registry since
2025

Practice location Address checks out

406 Kings Point Dr
Canton, GA 30115-5210
Phone: (404) 966-9296
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence RN264561 (GA)

Record details

NPI number1134014657
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedJune 12, 2025
Last updated in NPPESJune 12, 2025
Certification dateJune 12, 2025
Mailing address406 Kings Point Dr, Canton, GA 30115-5210

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice North Atlanta Professional Services Llc — 423 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Canton