Prestige Medical Clinic, LLC
NPI 1881284511 · Adult Health Nurse Practitioner · Kennesaw, GA
Prestige Medical Clinic, LLC is a Adult Health Nurse Practitioner organization in Kennesaw, GA (NPI 1881284511).
Provider details
- NPI number
- 1881284511
- Entity type
- Organization
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Christy Dickerson, Owner(706) 333-9932
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-01-26
- Last updated
- 2021-01-26
- Certified
- 2021-01-07
Frequently asked questions
- What is Prestige Medical Clinic, LLC's NPI number?
- Prestige Medical Clinic, LLC's National Provider Identifier (NPI) is 1881284511, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prestige Medical Clinic, LLC?
- Prestige Medical Clinic, LLC is classified in the NPPES registry as Adult Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Prestige Medical Clinic, LLC located?
- Prestige Medical Clinic, LLC's practice location on file with NPPES is 4529 Sterling Pointe Dr Nw, Kennesaw, GA 30152-7321.
- What is Prestige Medical Clinic, LLC's phone number?
- The practice phone number listed in the NPPES registry for Prestige Medical Clinic, LLC is (706) 333-9932.
- Who is the authorized official for Prestige Medical Clinic, LLC?
- The authorized official listed on Prestige Medical Clinic, LLC's NPPES record is Christy Dickerson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prestige Medical Clinic, LLC's NPI active?
- Yes — Prestige Medical Clinic, LLC's NPI (1881284511) is active in the NPPES registry as of the last update on 2021-01-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.