Beth Dziczkowski, NURSE PRACTITIONER
NPI 1134014657ActiveIndividual· Nurse Practitioner, Acute Care· Canton, GA
Nurse Practitioner, Acute Care (NURSE PRACTITIONER) with North Atlanta Professional Services LLC, practicing in Canton, Georgia. Enrolled in Medicare as practitioner - nurse practitioner. Lists Northside Hospital Cherokee as a hospital affiliation.
Overview
| NPI | 1134014657 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NURSE PRACTITIONER |
| Sole proprietor | No |
| NPI issued | Jun 12, 2025 |
| Last updated in NPPES | Jun 12, 2025 |
| Certified by provider | Jun 12, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Acute Care Primary | 363LA2100X | RN264561 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (GA) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- North Atlanta Professional Services LLCAtlanta, GA · 430 clinicians
Hospital affiliation
- Northside Hospital CherokeeCanton, GA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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