Timothy P Nichols (NPI# 1720080229, PAC ID# 5496711582) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1720080229 |
| PAC ID by PECOS | 5496711582 |
| Professional Enrollment ID | I20041209000969 |
| Full Name | Timothy P Nichols |
| Organization Legal Name | EMERALD COAST URGENT CARE LLC |
| Address |
2704 Thomas Dr Panama City Beach FL 32408-6247 |
| Phone Number | 8502368655 |
| Gender | M |
| Credential | MD |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS |
| Graduation Year | 1997 |
| Primary Specialty | GENERAL PRACTICE |
| Group Practice PAC ID | 8224125869 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 12598 Us Hwy 98 W, Unit 101, Destin, FL 32550-2102 | 8506548878 | EMERALD COAST URGENT CARE LLC |
| 2704 Thomas Dr, Panama City Beach, FL 32408-6247 | 8502368655 | EMERALD COAST URGENT CARE LLC |
| Organization Legal Name | EMERALD COAST URGENT CARE LLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Travis Lee Wiggins | Nurse Practitioner | Emerald Coast Urgent Care LLC | 2704 Thomas Dr, Panama City Beach, FL 32408-6247 |
| Jacquelyn H Orcino | Physician Assistant | Emerald Coast Urgent Care LLC | 12598 Us Hwy 98 W, Unit 101, Destin, FL 32550-2102 |
| Lauren Vaughan | Physician Assistant | Emerald Coast Urgent Care LLC | 13625 E Emerald Coast Pkwy, Inlet Beach, FL 32461-7352 |
| Hillary L Glenn | Nurse Practitioner | Emerald Coast Urgent Care LLC | 2704 Thomas Dr, Panama City Beach, FL 32408-6247 |
| Marla Gail Denecke | Nurse Practitioner | Emerald Coast Urgent Care LLC | 2704 Thomas Dr, Panama City Beach, FL 32408-6247 |
| Daniel L Turley | Family Medicine | Emerald Coast Urgent Care LLC | 13625 E Emerald Coast Pkwy, Inlet Beach, FL 32461-7352 |
| Street Address |
2704 THOMAS DR |
| City | PANAMA CITY BEACH |
| State | FL |
| Zip | 32408-6247 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Travis Lee Wiggins | Nurse Practitioner | Emerald Coast Urgent Care LLC | 2704 Thomas Dr, Panama City Beach, FL 32408-6247 |
| Hillary L Glenn | Nurse Practitioner | Emerald Coast Urgent Care LLC | 2704 Thomas Dr, Panama City Beach, FL 32408-6247 |
| Marla Gail Denecke | Nurse Practitioner | Emerald Coast Urgent Care LLC | 2704 Thomas Dr, Panama City Beach, FL 32408-6247 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark D White | Chiropractic | 2427 Thomas Dr, Panama City Beach, FL 32408-5808 | |
| Myra A Reed | Family Medicine | 1814 Thomas Dr, Panama City Beach, FL 32408-5825 | |
| Leonel P Welch Basulto | Family Medicine | 2601 Thomas Dr, Panama City Beach, FL 32408-6222 | |
| Matthew Zechariah Welch | Family Medicine | 2601 Thomas Dr, Panama City Beach, FL 32408-6246 | |
| Donna Nichols | Physical Therapy | 7328 Thomas Dr B, Panama City Beach, FL 32408-7540 |
| City | PANAMA CITY BEACH |
| Zip Code | 32408 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | PANAMA CITY BEACH + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Timothy P Nichols.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.