Nicklaus Brian Childers (NPI# 1093036725, PAC ID# 7719236090) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1093036725 |
| PAC ID by PECOS | 7719236090 |
| Professional Enrollment ID | I20180820002328 |
| Full Name | Nicklaus Brian Childers |
| Organization Legal Name | HUGHSTON CLINIC PC |
| Address |
161 E University Dr Auburn AL 36832-5889 |
| Phone Number | 3348262090 |
| Gender | M |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1355254780 |
| Number of Group Practice Members | 86 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010168 | JACK HUGHSTON MEMORIAL HOSPITAL |
| 110200 | NORTHSIDE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 161 E University Dr, Auburn, AL 36832-5889 | 3348262090 | HUGHSTON CLINIC PC |
| 6262 Veterans Pkwy, Unit B, Columbus, GA 31909-3540 | 7064943434 | HUGHSTON CLINIC PC |
| 107 Calumet Ctr Rd, Lagrange, GA 30241-6705 | 7068843274 | HUGHSTON CLINIC PC |
| 4401 River Chase Dr, Phenix City, AL 36867-7483 | 3347323000 | HUGHSTON CLINIC PC |
| Organization Legal Name | HUGHSTON CLINIC PC |
| Physicians | 100 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Norman L Donati Jr. | Orthopedic Surgery | Hughston Clinic PC | 512 N Shady Ln, Dothan, AL 36303-2991 |
| Benjamin W Durham | Physician Assistant | Hughston Clinic PC | 522 N Ctr St, Thomaston, GA 30286-3695 |
| Jolene M Stewart | Physician Assistant | Hughston Clinic PC | 6262 Veterans Pkwy, Columbus, GA 31909-3540 |
| Vickie E Jordan | Occupational Therapy | Hughston Clinic PC | 107 Calumet Ctr Rd, Lagrange, GA 30241-6705 |
| John I Waldrop | Orthopedic Surgery | Hughston Clinic PC | 100 N Macon St, Macon, GA 31210-6563 |
| John K Burkus | Orthopedic Surgery | Hughston Clinic PC | 4340 Kings Way, Valdosta, GA 31602-6921 |
| Robert Sumner Pilcher | Orthopedic Surgery | Hughston Clinic PC | 117 Oakland Pkwy, Leesburg, GA 31763-7201 |
| Darin White | Physical Therapy | Hughston Clinic PC | 512 N Shady Ln, Dothan, AL 36303-2991 |
| Robert F Hopkins | Physical Therapy | Hughston Clinic PC | 6262 Veterans Pkwy, Columbus, GA 31909-3540 |
| Frederick C. Flandry | Sports Medicine | Hughston Clinic PC | 512 N Shady Ln, Dothan, AL 36303-2991 |
| Street Address |
161 E UNIVERSITY DR |
| City | AUBURN |
| State | AL |
| Zip | 36832-5889 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey Eugene Leatherman | Physical Therapy | Hughston Clinic PC | 161 E University Dr, Auburn, AL 36832-5889 |
| Austin Sinclair Andrus | Physical Therapy | Hughston Clinic PC | 161 E University Dr, Auburn, AL 36832-5889 |
| Kimberly Edison | Occupational Therapy | Hughston Clinic PC | 161 E University Dr, Auburn, AL 36832-5889 |
| Cheryl Bush | Occupational Therapy | Hughston Clinic PC | 161 E University Dr, Auburn, AL 36832-5889 |
| Amelia Ratliff | Physical Therapy | Hughston Clinic PC | 161 E University Dr, Auburn, AL 36832-5889 |
| Amanda Whitley | Occupational Therapy | Hughston Clinic PC | 161 E University Dr, Auburn, AL 36832-5889 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brittney Nicole Harris | Nurse Practitioner | American Family Care Inc | 1902 S College St, Auburn, AL 36832-6615 |
| Brianna Lasha Hodge | Nurse Practitioner | American Family Care Inc | 1902 S College St, Auburn, AL 36832-6615 |
| City | AUBURN |
| Zip Code | 36832 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | AUBURN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Nicklaus Brian Childers.
| 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.