Malikata Nicolette Dano, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN-NP195658 Issued in GA

Practice address

101 Quartz Dr Ste 103B
Villa Rica, GA 30180-3201

Phone

(770) 812-3530

Fax

(770) 812-3579

NPI assigned

Aug 29, 2022

Last updated

Oct 10, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fusioncare LLCGroup PAC ID 6406362037, 7 clinicians

Empowering Healthcare ServicesGroup PAC ID 0143601708, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Empowering Healthcare Services

  • Clinical Social Worker
  • Douglasville, GA
  • NPI 1316682552

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Fusioncare LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Alpharetta, GA
  • NPI 1972496057
  Medicare reassignment Care Compare group NPD
• TMC-Behavioral Health of West Georgia

  dba Behavioral Health of West Georgia

  • Geriatric Psychiatry Physician
  • Villa Rica, GA
  • NPI 1356795462
  Medicare reassignment NPD
• Connecting Mind & Health Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Atlanta, GA
  • NPI 1861339491
  NPD Authorized official
• Tanner Medical Group Inc

  • Cardiovascular Disease Physician
  • Carrollton, GA
  • NPI 1396979787
  NPD (past)

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1700506144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5778 WEMBLEY DR",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301351875",
            "telephone_number": "404-852-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 QUARTZ DR STE 103B",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301803201",
            "telephone_number": "770-812-3530",
            "fax_number": "770-812-3579"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5778 Wembley Dr",
            "address_purpose": "LOCATION",
            "city": "Douglasville",
            "state": "GA",
            "postal_code": "301351875",
            "country_code": "US",
            "telephone_number": "404-852-1333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 Herrell Rd",
            "address_purpose": "LOCATION",
            "city": "Villa Rica",
            "state": "GA",
            "postal_code": "301805527",
            "country_code": "US",
            "telephone_number": "770-812-3530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANO",
        "first_name": "MALIKATA",
        "middle_name": "NICOLETTE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-29",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "APRN-NP195658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracey Cooper
• Lynda Cotton, RN
• Counseling Connection and Services, LLC
• Anna Cowan
• Crucible Communication Therapy LLC
• Eric L. Dansby, LPC
• Ryan Davis
• Mary Katheryn Denmon
• Amanda Hope Descalzo, PA-C
• Stuard Dillingham, PHARMD

• Psychiatric/Mental Health Nurse Practitioner in Villa Rica, GA
• Providers in Villa Rica, GA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.