Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lara Millikan Ranic, ACNPC-AG

Individual provider Nurse Practitioner · NPI 1518417641

Lara Millikan Ranic, ACNPC-AG is a Nurse Practitioner in Rome, Georgia. Qualified in 2016, 10 years ago. Practices with 24 on Physicians PC, a 276-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
10
Licensed in
GA
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

330 Turner McCall Blvd SW
Rome, GA 30165
Phone: (706) 509-3430
Fax: (706) 291-2147
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence RN203833 (GA)
Nurse Practitioner Taxonomy 363L00000X · Licence RN203833 (GA)

Record details

NPI number1518417641
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACNPC-AG
Sole proprietorNo
NPI enumeratedOctober 13, 2016
Last updated in NPPESNovember 13, 2020
Certification dateNovember 13, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice 24 On Physicians Pc — 276 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Rome