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

Vicki R Deweese, FNP-BC

Individual provider Nurse Practitioner · NPI 1164411559

Vicki R Deweese, FNP-BC is a Nurse Practitioner in Dalton, Georgia. Qualified in 1999, 27 years ago. Practices with Agape Youth Behavioral Health, a 6-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia and Tennessee.

Years since qualifying
27
Licensed in
GA, TN
In the registry since
2005
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

475 Reed Rd Ste 104
Dalton, GA 30720-6307
Phone: (706) 529-8710
Fax: (706) 529-8715
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN145900 (GA)
Nurse Practitioner Taxonomy 363L00000X · Licence 6358 (TN)

Record details

NPI number1164411559
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedOctober 18, 2005
Last updated in NPPESJanuary 24, 2024
Certification dateJanuary 24, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Agape Youth Behavioral Health — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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