MEDICARE: MS. KARLYSTRA NICOME NP-C

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	363LF0000X	Family Nurse Practitioner	RN211278	GA

General Provider Information

NPI Number	:	1356895106
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KARLYSTRA NICOME NP-C

Provider Business Mailing Address
First Line	:	1800 HOWELL MILL RD NW
Second Line	:	STE 450
City	:	ATLANTA
State	:	GA
Zip	:	30318-2508
Country	:	US
Telephone Number	:	917-951-7589
Fax Number	:

Provider Business Practice Location Address
First Line	:	1800 HOWELL MILL RD NW
Second Line	:	STE 450
City	:	ATLANTA
State	:	GA
Zip	:	30318-2508
Country	:	US
Telephone Number	:	404-788-5237
Fax Number	:	770-258-5103

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2016
Last Update Date	:	04/19/2017

Similar Medicare Providers

1922199470 — VANESSA NILES MD
Practice Location Address:

1800 HOWELL MILL RD , STE 275
ATLANTA, GA
30318-2508

Practice Phone: 404-756-1400
Practice Fax: 404-756-5252

1487967360 — VAN METER PEDIATRIC ENDOCRINOLOGY
Practice Location Address:

1800 HOWELL MILL RD NW STE 450
ATLANTA, GA
30318-2508

Practice Phone: 678-961-2100
Practice Fax: 678-961-2107

1437411592 — MR. DAVID ANTONIO REYES UMPIERREZ MD
Practice Location Address:

1800 HOWELL MILL ROAD NW , SUITE 450
ATLANTA, GA
30318-2508

Practice Phone: 404-355-4393
Practice Fax: 404-609-7665

1386997039 — MISS ADRIANA SOFIA RUIZ PA-C
Practice Location Address:

1800 HOWELL MILL RD NW STE 450
ATLANTA, GA
30318-2508

Practice Phone: 404-355-4393
Practice Fax: 404-609-7665

1841738044 — ADRIENNE ANDERSON
Practice Location Address:

1800 HOWELL MILL RD NW STE 450
ATLANTA, GA
30318-2508

Practice Phone: 404-355-4393
Practice Fax: 404-214-3053

1295276996 — MS. ERICA BROOKE EIDSON PA
Practice Location Address:

1800 HOWELL MILL ROAD NW , SUITE 450
ATLANTA, GA
30318-2508

Practice Phone: 404-355-4393
Practice Fax: 678-412-0086

Directions to “ MS. KARLYSTRA NICOME NP-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.