DR. ROBERT SHEPPARD NICKEL (NPI# 1053571810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053571810 |
| Entity Type | Individual |
| Full Name | DR. ROBERT SHEPPARD NICKEL |
| Credential | MD |
| Practice Address |
1405 Clifton Rd Atlanta GA 30322 |
| Mailing Address |
2015 Uppergate Dr Atlanta GA 30322-0001 |
| Practice Telephone | 4047851200 |
| Enumeration Date | 2008-06-14 |
| Last Update Date | 2014-06-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
66230 | GA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215963160 | Robert E Nickel | Pediatrics | 901 E. 18th St, Eugene, OR 97403-5254 | 2006-06-23 |
| Street Address |
1405 CLIFTON RD |
| City | ATLANTA |
| State | GA |
| Zip Code | 30322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366491953 | Derek A Fyfe | Pediatrics | 1405 Clifton Rd, Atlanta, GA 30322 | 2006-05-09 |
| 1245890359 | Mohamed Yousif Elkhalifa | Pathology | 1405 Clifton Rd, 1st Floor Pathology, Atlanta, GA 30322 | 2019-06-20 |
| 1942660998 | Jennifer Ottenweller Chiles | Physician Assistant | 1405 Clifton Rd, Atlanta, GA 30322 | 2016-03-03 |
| 1902173487 | Kevin Harris | Student in an Organized Health Care Education/Training Program | 1405 Clifton Rd, Cardiology, Choa, Atlanta, GA 30322-1060 | 2011-11-28 |
| 1124177266 | Karen Marie Stephan | Pediatrics | 1405 Clifton Rd, Atlanta, GA 30322 | 2007-01-09 |
| 1225197650 | Anna J Janss | Internal Medicine | 1405 Clifton Rd, 3rd Floor Aflac Childrens Cancer Center, Atlanta, GA 30322 | 2006-12-08 |
| 1760563977 | Shiva Danda | Anesthesiology | 1405 Clifton Rd, Atlanta, GA 30345 | 2006-10-17 |
| 1033154208 | William G Woods | Internal Medicine | 1405 Clifton Rd, Childrens Healthcare of Atlanta, Atlanta, GA 30322 | 2006-06-19 |
| 1861439234 | Abby Bechler-karsch | Internal Medicine | 1405 Clifton Rd, 1st Fl, Atlanta, GA 30322 | 2006-06-02 |
| 1598716466 | Amy Barry | Internal Medicine | 1405 Clifton Rd, 3rd Floor Bmt Office, Atlanta, GA 30322 | 2006-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700445830 | Justin Gill | Student in an Organized Health Care Education/Training Program | 1365 Clifton Rd Ne, Clinic B - Suite B6100, Atlanta, GA 30322 | 2019-06-12 |
| 1891354510 | Gwendolyn Gisiner Gunn | Genetic Counselor, MS | Emory Genetics Clinic, 1365 Clifton Road Ne, Atlanta, GA 30322 | 2019-06-06 |
| 1144710567 | Lisa Cathy-ann Akosa | Registered Nurse | 1365 Cifton Road Ne, Atlanta, GA 30322 | 2018-05-10 |
| 1083118004 | Jessica Milian Keilson | Student in an Organized Health Care Education/Training Program | 1364 Clifton Road Ne, Suite H100, Emory University Hospital Office of Surgical Education, Atlanta, GA 30322 | 2018-03-23 |
| 1568982684 | Jennifer Bilko | Dietitian, Registered | 1365 Clifton Rd., Bldg A, 1st Floor, Suite 1450, Atlanta, GA 30322 | 2017-06-20 |
| 1134652258 | Kassahun Bilcha | Student in an Organized Health Care Education/Training Program | 1525 Clifton Rd Ne Ste 100, Atlanta, GA 30322 | 2017-04-05 |
| 1356872246 | Tova Rogers | Dermatology | 1525 Clifton Road Suite 105, Atlanta, GA 30322 | 2017-03-23 |
| 1194271445 | Dina Amin | Dentist | 1365 Clifton,building B, Oral and Maxillofacial Surgery, Suite 2300, Atlanta, GA 30322 | 2016-08-28 |
| 1427404904 | Rita Kaur Kuwahara | Student in an Organized Health Care Education/Training Program | 100 Woodruff Circle, Suite 327, Atlanta, GA 30322 | 2016-05-13 |
| 1891176251 | Octav Cristea | Transplant Surgery | 1365 Clifton Road Northeast, Building B, 6th Floor, Atlanta, GA 30322 | 2015-06-11 |
| Find all providers in zip 30322 | ||||
| Taxonomy Code | 2080P0207X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Hematology-Oncology |
| A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518386853 | Rafi Kazi | Pediatrics | 5461 Meridian Mark Rd, Atlanta, GA 30342-3007 | 2014-04-15 |
| 1871936823 | Michael Hugh White | Pediatrics | 5461 Meridian Mark Road Ne, Suite 400, Atlanta, GA 30342 | 2013-04-09 |
| 1568624351 | Gary M Woods | Pediatrics | 5455 Meridian Marks Rd Ste 400, Atlanta, GA 30342 | 2008-07-02 |
| 1295993087 | Karen Elizabeth Effinger | Pediatrics | 2015 Uppergate Dr Fl 4, Atlanta, GA 30322-2200 | 2008-05-28 |
| 1114007549 | Robert Craig Castellino | Pediatrics | 14015 Clifton Rd, Atlanta, GA 30322-0001 | 2006-10-17 |
| 1295799161 | Glen Lew | Pediatrics | 5455 Meridian Mark Rd, Suite 400, Atlanta, GA 30342-1654 | 2006-04-17 |
| 1417916768 | Carolyn M Bennett | Pediatrics | 1450 Clifton Rd Ne, 4th Floor, Atlanta, GA 30322-1053 | 2006-03-23 |
| 1275504169 | Tamara N New | Pediatrics | Aflac Cancer Center and Blood Disorders Service, Scottish Rite, 5455 Meridian Mark Rd, Suite 400, Atlanta, GA 30342 | 2006-01-30 |
| 1235664343 | Sharmila Raghunandan | Pediatrics | 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 | 2017-04-26 |
| 1376961730 | Anthony Ross | Pediatrics | 100 Woodruff Cir Ne Ste 327, Atlanta, GA 30322-1334 | 2014-04-02 |
| Find all providers in ATLANTA | ||||
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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.