Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Jack Anthony Miceli , NP-C

Nurse Practitioner โ€ข Rome, GA

Active NPI 1821623232 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

1825 Martha Berry Blvd Nw
Rome, GA 301651625

Call 7622351470 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1825 Martha Berry Blvd Nw

Rome, GA 301651625

Telephone 7622351470
Fax 7062388081
Organization at the Same NPPES Address or Phone
Harbin Clinic, Llc Facility NPI 1679599088

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Harbin Clinic Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2019

Medicare patients

402 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $33,473 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $22,907 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

968 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$22,286 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Open Payments general payments, program year 2024

All general payments: $42.96 across 3 records.

By nature of payment

  • Food and Beverage: $42.96 across 3 records.

Reporting-company totals

  • Tris Pharma Inc: $15.73 across 1 record.
  • AstraZeneca Pharmaceuticals LP: $13.70 across 1 record.
  • ABBVIE INC.: $13.53 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2024 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

7 years (graduated 2019)

CMS Doctors and Clinicians data list 2019 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Jack Miceli has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Jack Miceli as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Rome and Georgia

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 95% of clinicians listed under Nurse Practitioner in Rome, GA (2024, 94 clinicians with data). Median for this group: 373. Middle half: 180 to 805.

More Medicare Part B services than 90% of clinicians listed under Nurse Practitioner in Georgia (2024, 1,262 clinicians with data). Median for this group: 237. Middle half: 83 to 600.

Medicare-allowed amount

A higher Medicare-allowed amount than 60% of clinicians listed under Nurse Practitioner in Rome, GA (2024, 94 clinicians with data). Median for this group: $26,672. Middle half: $14,071 to $43,066.

A higher Medicare-allowed amount than 70% of clinicians listed under Nurse Practitioner in Georgia (2024, 1,262 clinicians with data). Median for this group: $17,131. Middle half: $6,757 to $37,268.

Paid by Medicare

Close to the middle for clinicians listed under Nurse Practitioner in Rome, GA (2024, 94 clinicians with data). Median for this group: $18,689. Middle half: $10,564 to $31,467.

A higher Medicare payment amount than 65% of clinicians listed under Nurse Practitioner in Georgia (2024, 1,262 clinicians with data). Median for this group: $12,801. Middle half: $5,094 to $27,820.

Medicare Part D prescriptions

More Part D prescriptions than 60% of clinicians listed under Nurse Practitioner in Rome, GA (2024, 90 clinicians with data). Median for this group: 423. Middle half: 124 to 1,706.

More Part D prescriptions than 65% of clinicians listed under Nurse Practitioner in Georgia (2024, 1,337 clinicians with data). Median for this group: 379. Middle half: 102 to 1,362.

Part D drug cost

Close to the middle for clinicians listed under Nurse Practitioner in Rome, GA (2024, 90 clinicians with data). Median for this group: $12,843. Middle half: $1,446 to $172,338.

Close to the middle for clinicians listed under Nurse Practitioner in Georgia (2024, 1,337 clinicians with data). Median for this group: $21,407. Middle half: $1,326 to $171,715.

146 active clinicians are listed under Nurse Practitioner with a practice address in Rome, GA (3,110 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Rome

12.3% of these 146 clinicians have the CMS telehealth indicator.

67.1% of these 146 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2024
Disclosure Year:

Program year 2024 (payments made January 1 โ€“ December 31, 2024): fewer than 11 records totaling $42.96.

Manufacturer Payment Nature Product Type Amount ($)
Tris Pharma Inc
Food and Beverage
In-kind items and services
Dyanavel XR General $15.73
AstraZeneca Pharmaceuticals LP
Food and Beverage
In-kind items and services
BREZTRI General $13.70
ABBVIE INC.
Food and Beverage
In-kind items and services
VRAYLAR General $13.53

Source: CMS Open Payments, program year 2024, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2019โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2020โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code 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 with low level od decision making, if using time, 20 minutes or more
425 385 $110.00 $72.14
96372 Injection of drug or substance under skin or into muscle
93 85 $55.00 $11.21
87077 Bacterial culture for aerobic isolates
15 14 $45.00 $7.92
87086 Bacterial colony count, urine
15 15 $45.00 $7.91
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

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Doxycycline Hyclate Doxycycline Hyclate 107 1,054 $836.03 100
Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav 93 837 $811.78 92
Cefuroxime Cefuroxime Axetil 61 518 $933.80 59
Azelastine Hcl Azelastine Hcl 47 1,301 $888.31 46
Methylprednisolone Methylprednisolone 41 261 $276.47 40
Sulfamethoxazole-Trimethoprim Sulfamethoxazole/Trimethoprim 38 272 $131.76 35
Amoxicillin Amoxicillin 36 348 $146.94 36
Azithromycin Azithromycin 33 165 $105.51 33
Ciprofloxacin Hcl Ciprofloxacin Hcl 33 237 $218.27 30
Nitrofurantoin Mono-Macro Nitrofurantoin Monohyd/M-Cryst 23 143 $209.13 23
Levothyroxine Sodium Levothyroxine Sodium 22 1,140 $198.13 โ€”
Furosemide Furosemide 20 672 $73.42 โ€”
Ondansetron Odt Ondansetron 19 188 $174.32 19
Albuterol Sulfate Hfa Albuterol Sulfate 17 376 $385.71 17
Fluconazole Fluconazole 15 47 $58.71 15
Omeprazole Omeprazole 15 1,274 $300.86 โ€”
Pantoprazole Sodium Pantoprazole Sodium 14 660 $92.62 โ€”
Tizanidine Hcl Tizanidine Hcl 14 127 $41.53 14
Metformin Hcl Er Metformin Hcl 14 720 $178.89 โ€”
Mupirocin Mupirocin 14 210 $97.23 13
Paxlovid Nirmatrelvir/Ritonavir 14 70 $1,429.11 14
Escitalopram Oxalate Escitalopram Oxalate 13 450 $85.89 โ€”
Famotidine Famotidine 13 673 $139.33 โ€”
Eliquis Apixaban 13 690 $13,899.02 โ€”
Prednisone Prednisone 12 74 $16.98 11

(top 25 shown)

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-10-24
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES 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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20200410001201

Enrollment State Jurisdiction

GA

PECOS Control ID

6305275439

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Harbin Clinic Llc

5470 Martha Berry Hwy Ne, Armuchee, GA 301052302

Phone: 7622353830

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

19 listed
Steven Armitage , PA-C

Physician Assistant

NPI 1912333071

Physician Assistant (Certified)

Gustavo Castillo , FNP-C

Nurse Practitioner

NPI 1376282061

Family Nurse Practitioner (Certified)

Kelsey Clayton , FNP-BC

Nurse Practitioner - Family

NPI 1770942245

Family Nurse Practitioner (Board Certified)

Christina Crane , CFNP

Nurse Practitioner

NPI 1033206784
Lacy Currie , NP-C

Nurse Practitioner - Family

NPI 1821729252

Nurse Practitioner (Certified)

Joshua Cutshall , PA-C

Physician Assistant

NPI 1487996153

Physician Assistant (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
๐Ÿ“
Updated Practice Location October 24, 2023

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

โœ…
NPI Profile Active March 05, 2020

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) March 05, 2020

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

๐Ÿ“
Business Mailing Address (Initial Record) March 05, 2020

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

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) March 05, 2020

Recorded as JACK MICELI, NP-C

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 05, 2020

Nurse Practitioner (license number reported to NPPES: GA RN242971)

๐ŸŸข
Initial NPI Registration & Enumeration March 05, 2020

First registered as active Individual Practitioner in NPPES Database.

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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

Other Nurse Practitioners in Rome

All Nurse Practitioners in Rome

Mailing Address

221 Technology Pkwy Nw

Rome, GA 301651369

Phone: 7622351000

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.