Chenoa Dickerson, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN-NP248353 Issued in GA

Practice address

18 Riverbend Dr SW Ste 118
Rome, GA 30161-6019

Phone

(706) 962-3642

NPI assigned

Jan 22, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Group practices

Georgia Pain and Wellness CenterGroup PAC ID 8527200864, 53 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Georgia Pain and Wellness Center

  • Interventional Pain Medicine Physician
  • Lawrenceville, GA
  • NPI 1356781181

  GA

  Medicare reassignment Care Compare group NPD
• Georgia Pain and Wellness Center

  • Interventional Pain Medicine Physician
  • Newnan, GA
  • NPI 1427820190
  Care Compare group NPD
• Georgia Pain and Wellness Center

  • Interventional Pain Medicine Physician
  • Augusta, GA
  • NPI 1093522146
  Care Compare group
• Georgia Pain and Wellness Center

  • Interventional Pain Medicine Physician
  • Athens, GA
  • NPI 1336821529
  Care Compare group
• Georgia Pain and Wellness Center

  • Interventional Pain Medicine Physician
  • Snellville, GA
  • NPI 1346752854
  Care Compare group
• Georgia Pain and Wellness Center

  • Interventional Pain Medicine Physician
  • Conyers, GA
  • NPI 1427730613
  Care Compare group
• Georgia Pain and Wellness Center

  • Interventional Pain Medicine Physician
  • Stockbridge, GA
  • NPI 1730824814
  Care Compare group
• Georgia Pain and Wellness Center

  • Interventional Pain Medicine Physician
  • Roswell, GA
  • NPI 1821616830
  Care Compare group
• Georgia Pain and Wellness Center

  • Interventional Pain Medicine Physician
  • Rome, GA
  • NPI 1891448890
  Care Compare group
• Georgia Pain and Wellness Center

  • Interventional Pain Medicine Physician
  • Savannah, GA
  • NPI 1972285161
  Care Compare group
• Georgia Pain and Wellness Center, LLC

  • Interventional Pain Medicine Physician
  • Carrollton, GA
  • NPI 1104401819
  Care Compare group
• Georgia Pain and Wellness Center, LLC

  • Interventional Pain Medicine Physician
  • Cumming, GA
  • NPI 1275045783
  Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1063002145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 PHILIP BLVD STE 140",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300468768",
            "telephone_number": "706-962-3642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 RIVERBEND DR SW STE 118",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301616019",
            "telephone_number": "706-962-3642"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1504 N Thornton Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Dalton",
            "state": "GA",
            "postal_code": "307208394",
            "country_code": "US",
            "telephone_number": "706-510-0002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DICKERSON",
        "first_name": "CHENOA",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-22",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN248353",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP248353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maddison T. Destefano
• Jay E Deville, OWNER
• Diabetic Foot and Ankle Clinic of Georgia, Inc
• Diagnostic Systems of Georgia, LLC
• Alfonso Diaz Jr., MD
• Mary Difonzo, MARY DIFONZO PA-C
• Mary L Dillard, FNP-BC
• Melissa Stuart Dillmon, MD
• Louis A Dinatti, M.D.
• Bridgette M Dingle, MD

• All providers in Rome, GA
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.