NICHOLLS CLINIC (NPI# 1669418711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669418711 |
| Entity Type | Organization |
| Organization Name | NICHOLLS CLINIC |
| Practice Address |
806 N Liberty St Nicholls GA 31554-4006 |
| Practice Telephone | 9123450059 |
| Practice Fax Number | 9123450062 |
| Mailing Telephone | 9123450059 |
| Mailing Fax Number | 9123450062 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | STARLA SUTTON (PSO) |
| Authorized Official Telephone | 9123385263 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | Agencies |
| Street Address |
806 N LIBERTY ST |
| City | NICHOLLS |
| State | GA |
| Zip Code | 31554-4006 |
| 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 |
| 1558898882 | Bacon County Health Services, Inc. | General Acute Care Hospital | 1205 Van Streat Hwy, Nicholls, GA 31554 | 2017-05-17 |
| 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 |
| 1831568724 | Latasha Nicole Gilliard | Nurse Practitioner | 7171 Nails Rd, Nicholls, GA 31554-4613 | 2015-09-21 |
| 1285677872 | Pamela C. Lee | Nurse Practitioner | 1205 Van Streat Hwy, Nicholls, GA 31554-5025 | 2006-06-13 |
| Find all providers in zip 31554 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073136990 | Middle Flint Area Community Service Board | Public Health or Welfare | 106 W Furlow St, Americus, GA 31709-4110 | 2020-05-27 |
| 1023645728 | Emanuel County Board of Health | Public Health or Welfare | 50 Ga Highway 56 N, Swainsboro, GA 30401-4441 | 2020-03-24 |
| 1508498544 | Benard & Romulus LLC | Public Health or Welfare | 917 Revere Way, Hampton, GA 30228-5969 | 2020-02-07 |
| 1770142309 | Region 14 Department of Family and Children Services | Public Health or Welfare | 178 Sams St, Decatur, GA 30030-4134 | 2019-06-07 |
| 1700442753 | Region Xi Field Fiscal Office | Public Health or Welfare | 1400 Peterson Ave N Ste D, Douglas, GA 31533-2833 | 2019-05-15 |
| 1841856242 | Dfcs Region Ix | Public Health or Welfare | 904 Claxton Dairy Rd, Dublin, GA 31021-5423 | 2019-05-13 |
| 1740750181 | Cherokee County Health Department | Public Health or Welfare | 7545 Main St Bldg 100, Woodstock, GA 30188-1615 | 2018-11-28 |
| 1396211694 | Everybody Vs Cancer Foundation | Public Health or Welfare | 5040 Snapfinger Woods Dr Ste 201c, Decatur, GA 30035-4020 | 2018-10-15 |
| 1760963482 | Esther Natacha Lafontant | Public Health or Welfare | 3205 Maple Terrace Drive, Suwanee, GA 30024 | 2018-08-22 |
| 1538652425 | Tiffany Baggett | Public Health or Welfare | 1650 Barnes Mill Rd Apt 223, Marietta, GA 30062-7553 | 2018-06-14 |
| 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.