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

Nikeisha Clevia Oliver

Individual provider Family Nurse Practitioner · NPI 1043080641

Nikeisha Clevia Oliver is a Nurse Practitioner in Stone Mountain, Georgia. Qualified in 2021, 5 years ago. Practices as a sole proprietor. Licensed in Georgia.

Years since qualifying
5
Licensed in
GA
In the registry since
2024

Practice location Address checks out

1227 Rockbridge Rd
Stone Mountain, GA 30087-3064
Phone: (770) 413-1476
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN-NP228269 (GA)

Record details

NPI number1043080641
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 4, 2024
Last updated in NPPESOctober 10, 2025
Certification dateOctober 10, 2025
Mailing addressPo Box 932958, Cleveland, OH 44193-0028

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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