Mikayla Lynne Ferguson, BSN, RN
Individual provider Active NPI Registered Nurse · Bethlehem, GA
NPI 1336014240 · NPPES record last updated Oct 9, 2025
Key facts
- NPI
- 1336014240
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN334308 (GA)
- Practice address
- 1530 Dillard Heights Dr
Bethlehem, GA 30620-2594 - Phone
- (256) 612-9785
- NPI assigned
- Oct 9, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN334308 | GA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN334308 | GA | Yes |
Addresses
Primary practice location
1530 Dillard Heights Dr
Bethlehem, GA 30620-2594
Mailing address
1530 Dillard Heights Dr
Bethlehem, GA 30620-2594
Phone (256) 612-9785
Other providers in Bethlehem, GA
- Eye MD Surgery Center LLC
- Family Personal Care Home Inc
- Hira Nawal Fatima
- Favourite Diagnostic Solutions and Healthcare Services
- Favourite Healthcare Services LLC
- Katelyn Fields
- Hawwa Sharif Frazier
- Courtney Stone Fuller
- G&F Holdings LLC
- Trent Gabriel
All providers in Bethlehem, GA · Registered Nurse in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.