Active NPI 1821623232 Individual Practitioner Male Practitioner

Jack Anthony Miceli , NP-C

Nurse Practitioner • Rome, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jack Miceli, NP-C is a certified Nurse Practitioner practicing in Rome, GA. With approximately 7 years of clinical experience since completing medical education in 2019, Jack Miceli delivers high-quality medical care to the local community at 1825 MARTHA BERRY BLVD NW.

Jack Miceli is affiliated with Harbin Clinic Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, injection, dexamethasone sodium phosphate, 1 mg, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1825 Martha Berry Blvd Nw

Rome, GA 301651625

Telephone 7622351470

Fax 7062388081

Associated Practice Facility / Clinic

🏢 Harbin Clinic, Llc Facility NPI 1679599088

Medicare Profile & Education

Medical School

Other

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Rome, GA

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

7 Yrs -3.7 yrs vs City Avg

City Avg: 10.7 Yrs

State Avg: 10.5 Yrs

Regional Practice Density

147 Specialists

Practicing in Rome, GA (3149 Statewide)

Telehealth Adoption Rate

12.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

54.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Miceli (7 Years) 7 Yrs

Rome Specialty Average (10.7 Years) 10.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1010 Injection, methylprednisolone acetate, 1 mg	1,166	27	$0.50	$0.13
J1100 Injection, dexamethasone sodium phosphate, 1 mg	459	53	$8.00	$0.11
99213 Established patient office or other outpatient visit, typically 15 minutes	425	385	$110.00	$72.14
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	93	85	$55.00	$11.21
87086 Bacterial colony count, urine	15	15	$45.00	$7.91
87077 Bacterial culture for aerobic isolates	15	14	$45.00	$7.92
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	13	13	$40.00	$8.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$160.00	$101.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	73	70	$109.79	$72.63
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	22	21	$40.00	$8.48
87086 Bacterial colony count, urine	21	21	$45.00	$7.91
87077 Bacterial culture for aerobic isolates	21	21	$45.00	$7.92
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	17	17	$54.41	$11.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	61	58	$105.00	$73.03
87086 Bacterial colony count, urine	26	24	$45.00	$7.99
87077 Bacterial culture for aerobic isolates	19	18	$45.00	$7.97
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	18	17	$38.00	$8.54
81003 Automated urinalysis test	12	12	$18.00	$2.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	265	216	$105.00	$73.79
J1100 Injection, dexamethasone sodium phosphate, 1 mg	174	18	$8.00	$0.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	112	102	$154.15	$104.97
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	96	76	$49.50	$11.30
36415 Insertion of needle into vein for collection of blood sample	85	76	$15.00	$3.00
81003 Automated urinalysis test	55	46	$18.00	$2.25
J1030 Injection, methylprednisolone acetate, 40 mg	51	49	$35.00	$5.67
J0696 Injection, ceftriaxone sodium, per 250 mg	48	12	$25.00	$0.53
80053 Blood test, comprehensive group of blood chemicals	47	46	$60.00	$10.56
87086 Bacterial colony count, urine	41	34	$45.00	$8.07
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	35	34	$28.57	$7.77
80061 Blood test, lipids (cholesterol and triglycerides)	35	35	$70.00	$13.39
83036 Hemoglobin A1C level	27	27	$45.00	$9.71
99495 Transitional care management services for problem of at least moderate complexity	26	25	$470.00	$165.39
84443 Blood test, thyroid stimulating hormone (TSH)	23	23	$45.65	$16.80
80307 Testing for presence of drug, by chemistry analyzers	22	19	$130.00	$62.14
87077 Bacterial culture for aerobic isolates	16	15	$45.00	$8.08
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	16	15	$40.00	$6.47
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	16	15	$38.00	$8.65
69210 Removal of impacted ear wax	12	11	$120.00	$38.47
99496 Transitional care management services for problem of high complexity	12	11	$660.00	$224.04
G0008 Administration of influenza virus vaccine	11	11	$27.00	$15.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	144	130	$105.00	$61.01
J1100 Injection, dexamethasone sodium phosphate, 1 mg	130	12	$8.00	$0.12
36415 Insertion of needle into vein for collection of blood sample	73	67	$15.00	$3.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	68	68	$150.00	$88.89
87086 Bacterial colony count, urine	47	43	$45.00	$8.06
81003 Automated urinalysis test	46	41	$18.00	$2.25
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	43	34	$48.00	$11.51
80053 Blood test, comprehensive group of blood chemicals	39	36	$60.00	$10.55
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	32	30	$40.00	$7.77
80061 Blood test, lipids (cholesterol and triglycerides)	30	29	$70.00	$13.39
84443 Blood test, thyroid stimulating hormone (TSH)	26	25	$70.00	$16.80
83036 Hemoglobin A1C level	25	24	$45.00	$9.71
J1030 Injection, methylprednisolone acetate, 40 mg	21	20	$35.00	$5.95
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	18	17	$40.00	$6.47
G0008 Administration of influenza virus vaccine	17	17	$27.00	$15.91
87077 Bacterial culture for aerobic isolates	15	13	$45.00	$8.07
80307 Testing for presence of drug, by chemistry analyzers	13	12	$130.00	$62.14
99495 Transitional care management services for problem of at least moderate complexity	12	12	$470.00	$150.05

Medical Specialties & State Licenses

CMS Verified: 2023-10-24

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License GA RN242971

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Harbin Clinic Llc

5470 Martha Berry Hwy Ne, Armuchee, GA 301052302

Phone: 7622353830

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

19 Associated Practitioners

Michael White , PA-C

Physician Assistant

NPI 1003802653

Physician Assistant (Certified)

Dr. Theron Thompson , MD

Family Medicine

NPI 1033185681

Doctor of Medicine (M.D.)

Christina Crane , CFNP

Nurse Practitioner

NPI 1033206784

Thuc Doan , NP-C

Nurse Practitioner

NPI 1063016590

Nurse Practitioner (Certified)

Katrina Woodard , CFNP

Nurse Practitioner

NPI 1073663811

Tonya Emery , NP-C

Nurse Practitioner

NPI 1235347055

Nurse Practitioner (Certified)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location October 24, 2023

Registered at 1825 MARTHA BERRY BLVD NW, ROME, GA 301651625 (Tel: 7622351470)

✅

NPI Profile Active March 05, 2020

NPI status registered as active in NPPES database

📍

Updated Practice Location March 05, 2020

Registered at 5470 MARTHA BERRY HWY NE, ARMUCHEE, GA 301052302 (Tel: 7622353830)

📍

Updated Business Mailing Address March 05, 2020

Registered at 221 TECHNOLOGY PKWY NW, ROME, GA 301651369 (Tel: 7622351000)

👤

Provider Name / Credentials Updated March 05, 2020

Recorded as JACK MICELI, NP-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 05, 2020

Nurse Practitioner (License #RN242971 in GA)

🟢

Initial NPI Registration & Enumeration March 05, 2020

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: 1821623232

Entity Type:

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

Enumeration Date: March 05, 2020

Last Update: October 24, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

221 Technology Pkwy Nw

Rome, GA 301651369

Phone: 7622351000

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.