Active NPI
Natasha Micheff, NP-C
- Nurse Practitioner
- Dalton, GA
National Provider Identifier
1699199497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN23447
- Practice address
- 1107 Memorial Dr
Suite 201
Dalton, GA 30720-8668 - Phone
- (706) 277-7311
- Fax
- (706) 272-3512
- NPI assigned
- Feb 13, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN23447 | GA | Primary |
Addresses
Primary practice location
1107 Memorial Dr
Suite 201
Dalton, GA 30720-8668
Mailing address
1107 Memorial Dr
Suite 201
Dalton, GA 30720-8668
Phone (706) 277-7311
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jychung@directaddress.net | Skin Cancer and Cosmetic Dermatology Center PC | |
| Direct Messaging Address | jychung@directaddress.net | Skin Cancer & Cosmetic Dermatology Center, PC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN23447 | GA | MD | Nurse Practitioner |
Interoperability endpoints
- natasha.micheff@sccdc.gadirect.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1699199497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1107 MEMORIAL DR",
"address_2": "SUITE 201",
"city": "DALTON",
"state": "GA",
"postal_code": "307208668",
"telephone_number": "706-277-7311",
"fax_number": "706-272-3512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1107 MEMORIAL DR",
"address_2": "SUITE 201",
"city": "DALTON",
"state": "GA",
"postal_code": "307208668",
"telephone_number": "706-277-7311",
"fax_number": "706-272-3512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHEFF",
"first_name": "NATASHA",
"name_prefix": "Mrs.",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-13",
"last_updated": "2023-11-27",
"certification_date": "2020-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN23447",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jychung@directaddress.net",
"affiliation": "Y",
"affiliationName": "Skin Cancer and Cosmetic Dermatology Center PC",
"address_1": "2253 Chambliss Ave NW",
"address_2": "Suite 202",
"city": "Cleveland",
"state": "TN",
"country_code": "US",
"postal_code": "373113861",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jychung@directaddress.net",
"affiliation": "Y",
"affiliationName": "Skin Cancer & Cosmetic Dermatology Center, PC",
"address_1": "1107 Memorial Dr",
"address_2": "Suite 201",
"city": "Dalton",
"state": "GA",
"country_code": "US",
"postal_code": "307208668",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dalton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.