NICHOLLS FAMILY HEALTH CARE, P.C. (NPI# 1306021795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306021795 |
| Entity Type | Organization |
| Organization Name | NICHOLLS FAMILY HEALTH CARE, P.C. |
| Practice Address |
1205 Van Streat Hwy Nicholls GA 31554-5025 |
| Practice Telephone | 9123452474 |
| Practice Fax Number | 9123452518 |
| Mailing Telephone | 9123452474 |
| Mailing Fax Number | 9123452518 |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2008-01-03 |
| Authorized Official Name | MR. WINTON COPE MCNAIR III (PRESIDENT/CEO) |
| Authorized Official Telephone | 6787788924 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
016807 | GA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00274799A | 05 |
| Street Address |
1205 VAN STREAT HWY |
| City | NICHOLLS |
| State | GA |
| Zip Code | 31554-5025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285677872 | Pamela C. Lee | Nurse Practitioner | 1205 Van Streat Hwy, Nicholls, GA 31554-5025 | 2006-06-13 |
| 1558898882 | Bacon County Health Services, Inc. | General Acute Care Hospital | 1205 Van Streat Hwy, Nicholls, GA 31554 | 2017-05-17 |
| 1649378506 | Jose Ramon Castro | Family Medicine | 1205 Van Streat Hwy, Nicholls, GA 31554-5025 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295095925 | Crh Physician Practices LLC | Clinic/Center | 804 N Liberty St, Nicholls, GA 31554 | 2012-05-29 |
| 1083846554 | Ashley Miller | Dentist | 1153 N Liberty St, Nicholls, GA 31554 | 2009-08-18 |
| 1508913278 | Sheila Lynette Taylor | Contractor | 117 Aspen Road, Nicholls, GA 31554 | 2007-01-04 |
| 1457460198 | Nicholls Pharmacy | Pharmacist | 1003 Van Streat Hwy, Nicholls, GA 31554 | 2006-08-29 |
| 1174639959 | Brad M Mobley | Pharmacist | 1003 Van Streat Highway, Nicholls, GA 31554 | 2006-08-22 |
| 1760817795 | Healthstat On-site Clinic/milliken Alma | Preventive Medicine | 2410 Ga Highway 32 W, Nicholls, GA 31554-3446 | 2013-09-10 |
| 1922161033 | Myra Sellers | Speech-Language Pathologist | 105 Cherrywood Dr, Nicholls, GA 31554-3505 | 2006-12-19 |
| 1669418711 | Nicholls Clinic | Public Health or Welfare | 806 N Liberty St, Nicholls, GA 31554-4006 | 2006-06-20 |
| 1831568724 | Latasha Nicole Gilliard | Nurse Practitioner | 7171 Nails Rd, Nicholls, GA 31554-4613 | 2015-09-21 |
| 1184748808 | Nicholls Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1003 Van Streat Hwy, Nicholls, GA 31554-5031 | 2007-03-19 |
| Find all providers in zip 31554 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942809108 | Lexington Primary Care LLC | Clinic/Center | 777 Athens Rd, Lexington, GA 30648-1902 | 2020-10-20 |
| 1619575834 | The Iv Spot, LLC. | Clinic/Center | 2100 Parklake Dr Ne # C-5, Atlanta, GA 30345-2824 | 2020-10-09 |
| 1528673514 | Safe Haven Medical Services | Clinic/Center | 444 Racetrack Rd, Mcdonough, GA 30252-6837 | 2020-09-15 |
| 1780296533 | North Atlanta Mental Wellness | Clinic/Center | 1742 Mount Vernon Rd Ste 150b, Atlanta, GA 30338-4251 | 2020-08-21 |
| 1639788136 | Walker Health and Wellness LLC | Clinic/Center | 111 Bradford Dr, Bloomingdale, GA 31302-4926 | 2020-07-30 |
| 1942827332 | Primary Care of Coastal Georgia | Clinic/Center | 214a Professional Cir, St Marys, GA 31558 | 2020-07-01 |
| 1598389637 | Mercie Health | Clinic/Center | 3721 New Macland Rd Ste 246, Powder Springs, GA 30127-2000 | 2020-06-04 |
| 1366061699 | Beyondmed LLC | Clinic/Center | 1820 Willow Branch Ln Nw, Kennesaw, GA 30152-4558 | 2020-04-16 |
| 1366082596 | Rock Health Inc | Clinic/Center | 5385 Five Forks Trickum Rd Ste F, Stone Mountain, GA 30087-3018 | 2020-01-15 |
| 1477192219 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 5163 Thompson Bridge Rd, Murrayville, GA 30564-1930 | 2019-12-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.