DR. JOHN EDWIN NICHOLS JR. (NPI# 1548248529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548248529 |
| Entity Type | Individual |
| Full Name | DR. JOHN EDWIN NICHOLS JR. |
| Credential | MD |
| Practice Address |
17 Caledon Ct Suite C Greenville SC 29615-3170 |
| Practice Telephone | 8642327734 |
| Practice Fax Number | 8642327099 |
| Mailing Telephone | 8642327734 |
| Mailing Fax Number | 8642327099 |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2020-07-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 19655 | SC | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1280 Hospital Dr Unit 300, Mt Pleasant, SC 294641901 | 8438817400 | 8438817444 |
| 1330 Boiling Springs Rd Ste 2200, Spartanburg, SC 293034211 | 8645832669 | 8645832459 |
| 2324 Sunset Blvd, West Columbia, SC 291694716 | 8037263600 | 8039290504 |
| 76 Peachtree Rd Ste 210, Asheville, NC 288033506 | 8282108284 | 8283507516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801063896 | John Wesley Nichols | Counselor | 106 S Jefferson St, Kaufman, TX 75142-1928 | 2008-05-09 |
| 1730243080 | John Lee Nichols | Dentist | 1246 Maple Ave, Terre Haute, IN 47804 | 2006-12-21 |
| 1154499382 | John R Nichols | Dentist | 28 N Tipton, Munford, TN 38058 | 2006-12-04 |
| 1295741346 | John Dale Nichols | Chiropractor | 8608 E State Road 70, Bradenton, FL 34202-3785 | 2006-07-31 |
| 1760478937 | John N Nichols | Radiology | 600 S 3rd St, Gadsden, AL 35901-5304 | 2005-09-23 |
| 1467459933 | John Tibbals Nichols | Counselor | 205 N Front St, Georgetown, DE 19947-1129 | 2005-06-30 |
| 1316598279 | John Thomas Nichols | Student in an Organized Health Care Education/Training Program | 1015 Medical Center Pkwy, Selma, AL 36701-6748 | 2019-09-23 |
| 1548741598 | John Drew Nichols | Counselor | 401 West Main Street, Barnsdall, OK 74002 | 2018-08-28 |
| 1144709957 | John Nichols II | Behavior Technician | 1508 Old Ringgold Rd, Chattanooga, TN 37404-5444 | 2018-08-13 |
| 1437666294 | John Nichols | Hospitalist | 1000 Health Center Dr, Mattoon, IL 61938 | 2018-01-02 |
| Street Address |
17 CALEDON CT SUITE C |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29615-3170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699276121 | Austin Donahoo | Behavior Technician | 17 Caledon Ct, Greenville, SC 29615-3170 | 2018-02-21 |
| 1902352271 | Mary Wood | Behavioral Analyst | 17 Caledon Ct, Suite B, Greenville, SC 29615-3170 | 2016-08-28 |
| 1750664934 | Carolyn Elizabeth Keating | Nurse Practitioner | 17 Caledon Ct, Greenville, SC 29615-3170 | 2011-09-23 |
| 1992833719 | Piedmont Reproductive Endocrinology Group, Pa | Specialist | 17 Caledon Ct, Suite C, Greenville, SC 29165 | 2007-03-01 |
| 1174676001 | Travis Wyatt Mccoy | Obstetrics & Gynecology | 17 Caledon Ct, Suite C, Greenville, SC 29615-3170 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194358051 | Adenike Orogade | Behavior Technician | 17 Caldedon Ct, Suite B, Greenville, SC 29615 | 2020-02-19 |
| 1629608369 | Jennifer Jacobsen | Behavior Technician | 17 Caldedon Court, Suite B, Greenville, SC 29615 | 2020-01-22 |
| 1932668217 | Carolina Orthopaedic and Neurosurgical Associates | Orthopaedic Surgery | Carolina Orthopaedic and Neurosurgical Associates, 220 Roper Mountain Road Extension, Greenville, SC 29615 | 2019-03-18 |
| 1255816070 | Trevis L Cureton | Pharmacist | 2401 East North St, Greenville, SC 29615 | 2018-09-27 |
| 1497232565 | Jacob J Fountain | Nurse Practitioner | 225 Enterprise Blvd, Suite 101, Greenville, SC 29615 | 2018-07-23 |
| 1346726924 | St. Francis Physician Services, Inc | Internal Medicine | 5 Hoke Smith Blvd, Greenville, SC 29615 | 2018-07-17 |
| 1558853101 | Alexandra Michelle Taylor | Audiologist | 200 Patewood Dr Ste 400, Greenville, SC 29615 | 2018-05-30 |
| 1316466543 | Mariah Hope Mosher | Behavioral Analyst | 7 Mckenna Commons Court, Greenvilee, SC 29615 | 2017-09-19 |
| 1326400896 | Karen L Heaps | Counselor | 3150 S. Hwy 14, The Pelham Center, Greenville, SC 29615 | 2016-03-24 |
| 1134589013 | Sharon Erk | Technician, Other | 2950 E.norths St, Greenville, OH 29615 | 2016-03-04 |
| Find all providers in zip 29615 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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|---|---|---|---|---|
| 1528699444 | Jackson Hospital and Clinic, Inc | Specialist | 321 Greenville Byp Ste 2, Greenville, AL 36037-3757 | 2020-01-29 |
| 1902381692 | Ig Medical Billing & Consulting LLC | Specialist | 2320 E North St Ste Rr 108, Greenville, SC 29607-1271 | 2018-09-27 |
| 1467815779 | Nathan Donald Lee | Specialist | 393 Woods Lake Rd, Greenville, SC 29607-2775 | 2016-04-04 |
| 1972974863 | Clinica Maternal De Greenville | Specialist | 3204 White Horse Rd, Suite D, Greenville, SC 29611-5916 | 2015-10-17 |
| 1356725444 | Misty Burch | Specialist | 64 Old Route 401, Greenville, NY 12083-1928 | 2015-07-17 |
| 1356729818 | Zachary White | Specialist | 171 West 5th Street, Greenville, NC 27834-1698 | 2015-05-15 |
| 1255733432 | Meredith Wentzel | Specialist | 319 Garlington Rd Ste D9, Greenville, SC 29615-4610 | 2014-09-19 |
| 1417291907 | Dental Anesthesia Associates of Greenville, LLC | Specialist | 2131 Woodruff Rd., Suite2100 #318, Greenville, SC 29681 | 2012-11-21 |
| 1396014148 | Women's Health Center of Greenville | Specialist | 2317 A Executive Park Circle, Greenville, NC 27834 | 2011-12-23 |
| 1255619912 | Lindsay Joan Weinfurtner | Specialist | 6010 Sipperley Trl, Greenville, MI 48838 | 2011-07-29 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29615 |
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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.