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

Mrs. Chenoa Dickerson, FNP-C

Individual provider Family Nurse Practitioner · NPI 1063002145

Mrs. Chenoa Dickerson, FNP-C is a Nurse Practitioner in Rome, Georgia. Qualified in 2020, 6 years ago. Practices with Georgia Pain and Wellness Center, a 54-clinician group and works from 2 locations. Licensed in Georgia.

Years since qualifying
6
Licensed in
GA
In the registry since
2021
Specialties on file
2
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

18 Riverbend Dr SW Ste 118
Rome, GA 30161-6019
Phone: (706) 962-3642
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1504 N Thornton Ave Ste 103, Dalton, GA 30720-8394 — (706) 510-0002

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN-NP248353 (GA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence RN248353 (GA)

Record details

NPI number1063002145
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJanuary 22, 2021
Last updated in NPPESOctober 16, 2025
Certification dateOctober 16, 2025
Mailing address455 Philip Blvd Ste 140, Lawrenceville, GA 30046-8768

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Georgia Pain And Wellness Center — 54 clinicians
Accepts Medicare assignment Not indicated

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