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

Nicketa Bernard

Individual provider Registered Nurse · NPI 1184461303

Nicketa Bernard is a Nurse Practitioner in Atlanta, Georgia. Qualified in 2025, 1 year ago. Accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
1
Licensed in
GA
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3050
Phone: (404) 616-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence RN319192 (GA)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence APRN-NP319192 (GA)

Record details

NPI number1184461303
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 15, 2024
Last updated in NPPESApril 30, 2026
Certification dateApril 30, 2026
Mailing address1752 Misselthrush Ln, McDonough, GA 30253-3083

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)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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