Active NPI 1134014657 Individual Practitioner Female Practitioner

Beth Dziczkowski , NURSE PRACTITIONER

Nurse Practitioner - Acute Care • Canton, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Beth Dziczkowski, NURSE PRACTITIONER is a certified Nurse Practitioner - Acute Care practicing in Canton, GA. With approximately 1 years of clinical experience since completing medical education in 2025, Beth Dziczkowski delivers high-quality medical care to the local community at 406 KINGS POINT DR.

Beth Dziczkowski is affiliated with North Atlanta Professional Services Llc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

406 Kings Point Dr

Canton, GA 301155210

Telephone 4049669296

Medicare Profile & Education

Medical School

Other

Graduation Year

2025

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Acute Care in Canton, GA

Rising Specialist (<5 Yrs)

Practitioner Clinical Experience

1 Yrs -7.4 yrs vs City Avg

City Avg: 8.4 Yrs

State Avg: 8.3 Yrs

Regional Practice Density

10 Specialists

Practicing in Canton, GA (966 Statewide)

Telehealth Adoption Rate

10.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dziczkowski (1 Years) 1 Yrs

Canton Specialty Average (8.4 Years) 8.4 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-06-12

Nurse Practitioner - Acute Care Primary Specialty

NUCC Taxonomy Code: 363LA2100X

State License GA RN264561

Definition to come...

Hospital & Practice Group Affiliations

North Atlanta Professional Services Llc

450 Northside Cherokee Blvd, Canton, GA 301158015

Phone: 7702241000

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active June 12, 2025

NPI status registered as active in NPPES database

📍

Updated Practice Location June 12, 2025

Registered at 406 KINGS POINT DR, CANTON, GA 301155210 (Tel: 4049669296)

📍

Updated Business Mailing Address June 12, 2025

Registered at 406 KINGS POINT DR, CANTON, GA 301155210 (Tel: 4049669296)

👤

Provider Name / Credentials Updated June 12, 2025

Recorded as BETH DZICZKOWSKI, NURSE PRACTITIONER

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 12, 2025

Nurse Practitioner (License #RN264561 in GA)

🟢

Initial NPI Registration & Enumeration June 12, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1134014657

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 12, 2025

Last Update: June 12, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

406 Kings Point Dr

Canton, GA 301155210

Phone: 4049669296

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.