SALLY AGNER NICKS (NPI# 1578738910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578738910 |
| Entity Type | Individual |
| Full Name | SALLY AGNER NICKS |
| Credential | M.D. |
| Practice Address |
3975 Robinson Rd Newton NC 28658-9715 |
| Mailing Address |
1370 5th Street Cir Nw Hickory NC 28601-2404 |
| Practice Telephone | 8284660466 |
| Practice Fax Number | 8284668862 |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2018-11-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 33332 | NC | Allopathic & Osteopathic Physicians |
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
33332 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | LICENSE | 33332 | 01 |
| NC | BCBS | 62649 | 01 |
| NC | DEA | AN2878467 | 01 |
| NC | MEDICIAD | 8962649 | 01 |
| Street Address |
3975 ROBINSON RD |
| City | NEWTON |
| State | NC |
| Zip Code | 28658-9715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336144377 | Elizabeth M Owens | Physician Assistant | 3975 Robinson Rd, Newton, NC 28658 | 2005-06-16 |
| 1306497904 | William Jeffrey Scott | Nurse Practitioner | 3975 Robinson Rd, Newton, NC 28658-9715 | 2019-09-25 |
| 1275186082 | Jennifer Renee Dinkins | Nurse Practitioner | 3975 Robinson Rd, Newton, NC 28658-9715 | 2019-07-20 |
| 1013488253 | Dustin Ford | Nurse Practitioner | 3975 Robinson Rd, Newton, NC 28658-9715 | 2018-12-16 |
| 1649792888 | Vida Asantewaa Owusu | Nurse Practitioner | 3975 Robinson Rd, Newton, NC 28658 | 2017-07-10 |
| 1235680604 | Thomas Craig Harris | Nurse Practitioner | 3975 Robinson Rd, Newton, NC 28658-9715 | 2016-10-20 |
| 1023469772 | Robin Elaine Sherrill | Nurse Practitioner | 3975 Robinson Rd, Newton, NC 28658 | 2016-06-23 |
| 1669855490 | Megan Cox Frasure | Nurse Practitioner | 3975 Robinson Rd, Newton, NC 28658-9715 | 2015-06-29 |
| 1316341738 | Jacqueline Setford Brown | Nurse Practitioner | 3975 Robinson Rd, Newton, NC 28658 | 2014-10-14 |
| 1932517836 | Tia Theann Evans | Social Worker | 3975 Robinson Rd, Newton, NC 28658-9715 | 2014-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902427024 | Healthstat Onsite Clinic Mccreary Modern Plant 4 | Preventive Medicine | 3483 Saint James Church Road, Newton, NC 28658 | 2020-04-29 |
| 1578977179 | Endeavors Pediatric Therapy Services, LLC | Occupational Therapist | Mt Olive Church Rd, Newton, NC 28658 | 2014-06-12 |
| 1033428289 | Homefirst Healthcare Services, LLC | Home Infusion | 805 W. 25th Street, Newton, NC 28658 | 2010-10-05 |
| 1184959330 | The Mental Health Fund Inc | Community Based Residential Treatment Facility, Mental Illness | 120b West D Street, Newton, NC 28658 | 2009-10-06 |
| 1003957531 | Lynn Isenhower Mullinax | Counselor | 22 South Main Avenue, Newton, NC 28658 | 2007-02-09 |
| 1588723852 | Frank Alan Younce | Occupational Therapist | 1897 Wellington Ave, Newton, NC 28658 | 2006-12-06 |
| 1164435798 | Janet Greer | Nurse Practitioner | 2564 Highway 321s, Newton, NC 28658 | 2006-08-14 |
| 1174566376 | Clifton Wade Pernell | Dentist | 430 West 20th Street, Newton, NC 28658 | 2006-06-14 |
| 1093777120 | Pendleton Glass Waldron | Dentist | 430 West 20th St, Newton, NC 28658 | 2006-04-04 |
| 1669476404 | Julie Lail Peltzer | Speech-Language Pathologist | 1457 O'brian Drive, Newton, NC 28658 | 2005-06-09 |
| Find all providers in zip 28658 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093757494 | Nathalie Boileau | Internal Medicine | 2000 Washington St Ste 304, Newton, MA 02462-1602 | 2006-06-11 |
| 1336501279 | Mercy Professional Practice Associates Inc | Internal Medicine | 300 N 4th Ave E, Suite C2, Newton, IA 50208-3155 | 2016-03-21 |
| 1205039997 | Amparo Leilah Gordian | Internal Medicine | 2014 Washington St, Newton, MA 02462 | 2007-06-08 |
| 1932179637 | Lennig Wilfred Chang | Internal Medicine | 2000 Washington St, Suite 405, Newton, MA 02462-1650 | 2006-01-25 |
| 1831169531 | William Fryer Winchell | Internal Medicine | 2000 Washington St, Suite 405, Newton, MA 02462-1650 | 2006-01-25 |
| 1992701502 | Don L Goldenberg | Internal Medicine | 2000 Washington St, Ste 304, Newton, MA 02462-1602 | 2005-06-28 |
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|---|---|---|---|---|
| 1679090468 | Novant Medical Group Inc | Internal Medicine | 12311 Copper Way Ste 100, Charlotte, NC 28277-3643 | 2017-08-23 |
| 1992231591 | Christopher Overton | Internal Medicine | 3300 Thurston Building Cb# 7280, Chapel Hill, NC 27599-7280 | 2017-05-03 |
| 1902358294 | Integrative Rheumatology Pllc | Internal Medicine | 10826 Mallard Creek Rd Ste 100, Charlotte, NC 28262-7785 | 2016-11-02 |
| 1760801146 | Noopur Goel | Internal Medicine | 1001 Pemberton Hill Rd Ste 202, Apex, NC 27502-4265 | 2014-04-14 |
| 1134498108 | Lake Norman Arthritis Specialists, Pa | Internal Medicine | 130 Harbour Place Dr, Suite 100, Davidson, NC 28036-7441 | 2011-12-21 |
| 1437447844 | Priyank Chaudhary | Internal Medicine | 901 N Winstead Ave Ste 260, Rocky Mount, NC 27804-8757 | 2011-07-19 |
| 1457666026 | Orwah Al-khalili | Internal Medicine | 7850 Brier Creek Pkwy, Raleigh, NC 27617-8900 | 2010-08-08 |
| 1265757157 | Surry Parker Roberts | Internal Medicine | 120 Woodburn Rd, Raleigh, NC 27605-1617 | 2010-04-02 |
| 1912235268 | Shanahan Rheumatology and Immunotherapy, Pllc | Internal Medicine | 10208 Cerny Street, Wake Med Brier Creek Medical Park, Raleigh, NC 27617 | 2009-11-25 |
| 1205163144 | George Ayo Korede | Internal Medicine | 1212 Spruce St Ste 311, Belmont, NC 28012 | 2009-11-13 |
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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.