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

Marla Kristen Mikell, FNP-C

Individual provider Nurse Practitioner · NPI 1477335891

Marla Kristen Mikell, FNP-C is a Nurse Practitioner in Vidalia, Georgia. Qualified in 2023, 3 years ago. Practices with Peachtree Immediate Care Fp, LLC, a 326-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
3
Licensed in
GA
In the registry since
2023
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

101 Harris Industrial Blvd Ste A
Vidalia, GA 30474-8852
Phone: (912) 535-3500
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN275033 (GA)

Record details

NPI number1477335891
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedOctober 19, 2023
Last updated in NPPESNovember 6, 2023
Certification dateNovember 6, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Peachtree Immediate Care Fp, Llc — 326 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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