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

Kenneth Jeremy Micheff, PA

Individual provider Physician Assistant · NPI 1649677709

Kenneth Jeremy Micheff, PA is a Physician Assistant in Dalton, Georgia. Qualified in 2014, 12 years ago. Practices with Skin Cancer and Cosmetic Dermatology Center PC, a 24-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
12
Licensed in
GA
In the registry since
2014
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1107 Memorial Dr Ste 201
Dalton, GA 30720-8668
Phone: (706) 277-7311
Fax: (706) 272-3512
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 007281 (GA)

Record details

NPI number1649677709
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 4, 2014
Last updated in NPPESNovember 27, 2023
Certification dateApril 29, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Skin Cancer And Cosmetic Dermatology Center Pc — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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