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Akiysha Collins Caine

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

2200 Satellite Blvd Apt 117, Duluth, GA 30097-4002

PECOS Enrollment

This provider is enrolled in PECOS as AKIYSHA CAINE.

Based on the most recent information from CMS, provider Akiysha Collins Caine is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 9:24 AM.

Profile Details

Provider ID
1174141873
Provider Type
Individual
Full Name
Caine, Akiysha Collins
Credential
FNP-BC

Gender
Female
Sole Proprietor
No
Enumeration Date
7/9/2020
Last Updated
7/9/2020

Contact Information

Practice Location

2200 Satellite Blvd Apt 117, Duluth, GA 30097-4002

(916) 512-0227

Unlisted Fax

Mailing Location

2200 Satellite Blvd Apt 117, Duluth, GA 30097-4002

(916) 512-0227

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 264610 Georgia

Akiysha Collins Caine

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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