MEDICARE: STARR WELLNESS AND CONSULTING, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner

General Provider Information

NPI Number	:	1417894965
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STARR WELLNESS AND CONSULTING, LLC

Provider Business Mailing Address
First Line	:	2400 HERODIAN WAY SE STE 220
Second Line	:
City	:	SMYRNA
State	:	GA
Zip	:	30080-8500
Country	:	US
Telephone Number	:	404-226-9984
Fax Number	:

Provider Business Practice Location Address
First Line	:	655 DOT DR
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30349-2730
Country	:	US
Telephone Number	:	404-226-9984
Fax Number	:

Authorized Official
Title or Position	:	OPERATING MANAGER
Name	:	STARR DICKERSON
Credential	:	FNP-BC
Telephone Number	:	404-226-9984

Provider Enumeration Date	:	05/01/2026
Last Update Date	:	05/01/2026

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