MRS. CAROL S NICHOLS (NPI# 1689713257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689713257 |
| Entity Type | Individual |
| Full Name | MRS. CAROL S NICHOLS |
| Credential | NP |
| Practice Address |
808 Professional Blvd Dalton GA 30720 |
| Mailing Address |
5496 Georgetown Trace Lilburn GA 30047 |
| Practice Telephone | 7062262621 |
| Practice Fax Number | 7062812325 |
| Mailing Telephone | 7709215039 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN029126 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| X | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
RN029126 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689881419 | Carol A. Nichols | Marriage & Family Therapist | 2295 Dogwood Ln, Clarksville, TN 37043-5231 | 2007-05-17 |
| 1700179074 | Carol Nichols | Social Worker | 103 Myron St, Suite A, West Springfield, MA 01089-1598 | 2011-05-19 |
| 1609832237 | Carol S Nichols | Psychiatry & Neurology | 541 Floyd Rd, Spartanburg, SC 29307 | 2006-04-22 |
| Street Address |
808 PROFESSIONAL BLVD |
| City | DALTON |
| State | GA |
| Zip Code | 30720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295738573 | Nancy Lampkin Williams | Dentist | 808 Professional Blvd, Dalton, GA 30720-2536 | 2005-05-31 |
| 1912112301 | J Sherwood Jones Jr. | Internal Medicine | 808 Professional Blvd, Whitfield County Health Dept, Dalton, GA 30720 | 2007-05-11 |
| 1730393067 | Susan Herrlich Shacklett | Dietitian, Registered | 808 Professional Blvd, Dalton, GA 30720-2536 | 2007-05-09 |
| 1326267261 | Toby Johnson Clarkson | Dentist | 808 Professional Blvd, Dalton, GA 30720-2536 | 2007-04-25 |
| 1023232188 | Joy Bernice Whaley | Nurse Practitioner | 808 Professional Blvd, Dalton, GA 30720-2536 | 2007-04-12 |
| 1497894067 | Dianne H Weyer | Nurse Practitioner | 808 Professional Blvd, Whitfield Co Board of Health The Living Bridge Center, Dalton, GA 30720 | 2007-02-06 |
| 1093854317 | Robin Diane Hurtt | Nurse Practitioner | 808 Professional Blvd, Dalton, GA 30720 | 2007-02-05 |
| 1740329077 | Kara Allison Cook | Nurse Practitioner | 808 Professional Blvd, Dalton, GA 30720 | 2007-02-05 |
| 1699839258 | Mary Ebert | Nurse Practitioner | 808 Professional Blvd, Dalton, GA 30720-2536 | 2006-12-20 |
| 1437144755 | Robert Kenneth Boe | Dentist | 808 Professional Blvd, Dalton, GA 30720-2536 | 2005-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528688421 | Nighat Purnima Kabir | Student in an Organized Health Care Education/Training Program | Hamilton Medical Center, Attn: Residency Program, 1200 Memorial Drive, Dalton, GA 30720 | 2020-04-21 |
| 1720620727 | Elizabeth Nicole Gregory | Behavioral Analyst | 1201 Burleyson Rd., Dalton, GA 30720 | 2019-10-10 |
| 1972161768 | Andrea Nicole Henry | Speech-Language Pathologist | 1201 Burleyson Road, Dalton, Ga. 30720, Dalton, GA 30720 | 2019-06-05 |
| 1275056905 | Cynthia L Wood | Speech-Language Pathologist | 1011 Professional Blvd., Dalton, GA 30720 | 2017-07-25 |
| 1073069225 | Alyssa Sellers Garner | Nurse Practitioner | 1436 Chattanooga Avenue, Dalton, GA 30720 | 2016-08-28 |
| 1588039077 | Katie Walker | Social Worker | 900 Shugart Road, Dalton, GA 30720 | 2015-12-09 |
| 1215310800 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 98 West Walnut Ave, Dalton, GA 30720 | 2015-07-01 |
| 1275969081 | Stacy Kay Whitehead | Nurse Practitioner | 1411 Chattanooga Avenue, Suite 101, Dalton, GA 30720 | 2013-09-25 |
| 1821439985 | Chantal Aneka Raheeda Lewis | Internal Medicine | 1109 Burleyson Rd Ste 103, Dalton, GA 30720 | 2013-07-17 |
| 1174960678 | Homestead Hospice of Northwest Georgia, LLC | Hospice Care, Community Based | 1601 Hickory Street, Dalton, GA 30720 | 2013-05-24 |
| Find all providers in zip 30720 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245847367 | Marlin Calvin Allen | Nurse Practitioner | 1209 W Walnut Ave Ste 1, Dalton, GA 30720-3961 | 2020-09-24 |
| 1215559364 | Kelcey Akridge Bennett | Nurse Practitioner | 1233 Covie Dr, Dalton, GA 30720-2524 | 2020-05-12 |
| 1699318303 | Gregory Allen Green | Nurse Practitioner | 2246 Rocky Face Cir, Dalton, GA 30720-2946 | 2019-10-25 |
| 1952885634 | Ashley Kaye Lumpkin | Nurse Practitioner | 2709 Airport Rd Ste 101, Dalton, GA 30721-0252 | 2018-09-19 |
| 1154823086 | Jamie Lynn Haswell | Nurse Practitioner | 304 Brickyard Rd, Dalton, GA 30721-4815 | 2018-03-07 |
| 1073069225 | Alyssa Sellers Garner | Nurse Practitioner | 1436 Chattanooga Avenue, Dalton, GA 30720 | 2016-08-28 |
| 1750793410 | Natalie Renee Ali | Nurse Practitioner | 1012 Burleysron Rd, Dalton, GA 30720-8340 | 2014-05-28 |
| 1275969081 | Stacy Kay Whitehead | Nurse Practitioner | 1411 Chattanooga Avenue, Suite 101, Dalton, GA 30720 | 2013-09-25 |
| 1598958498 | Bradley Robert Mills | Nurse Practitioner | 1107 Memorial Dr Ste 200, Dalton, GA 30720-8662 | 2007-08-23 |
| 1306064308 | Carmen Plott | Nurse Practitioner | 1504 N. Thorton Ave, Suite 102, Dalton, GA 30722 | 2007-04-23 |
| Find all providers in DALTON | ||||
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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.