NICKLAUS BRIAN CHILDERS (NPI# 1093036725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093036725 |
| Entity Type | Individual |
| Full Name | NICKLAUS BRIAN CHILDERS |
| Credential | NP-C |
| Practice Address |
6262 Veterans Pkwy Columbus GA 31909 |
| Mailing Address |
Po Box 370 Fortson GA 31808-0370 |
| Practice Telephone | 7063246661 |
| Practice Fax Number | 7064943235 |
| Mailing Fax Number | 7064943008 |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2020-06-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-116752 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 163WR0006X |
Registered Nurse Specialization: Registered Nurse First Assistant |
1-116752 | AL | Nursing Service Providers |
| N | 163WR0006X |
Registered Nurse Specialization: Registered Nurse First Assistant |
RN176292 | GA | Nursing Service Providers |
| Street Address |
6262 VETERANS PKWY |
| City | COLUMBUS |
| State | GA |
| Zip Code | 31909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952376337 | Todd C Bonvallet | Orthopaedic Surgery | 6262 Veterans Pkwy, Columbus, GA 31909-3540 | 2006-02-21 |
| 1538709613 | Elizabeth Pittman | Registered Nurse | 6262 Veterans Pkwy, Columbus, GA 31909-3540 | 2020-01-07 |
| 1922653732 | Michael Nathan Fell | Physical Therapist | 6262 Veterans Pkwy, Columbus, GA 31909-3540 | 2019-08-08 |
| 1861957169 | Ethan D Brubaker | Physician Assistant | 6262 Veterans Pkwy, Columbus, GA 31909-3540 | 2019-01-31 |
| 1932688199 | John William Elliott-gower | Specialist/Technologist | 6262 Veterans Pkwy, Columbus, GA 31909-3540 | 2018-08-08 |
| 1831617422 | Kathryn Ruth Boylan | Specialist/Technologist | 6262 Veterans Pkwy, Columbus, GA 31909-3540 | 2017-09-02 |
| 1487177168 | Maegan Bell | Nurse Practitioner | 6262 Veterans Pkwy, Columbus, GA 31904 | 2017-07-25 |
| 1659806735 | John David Synovec | Student in an Organized Health Care Education/Training Program | 6262 Veterans Pkwy, Columbus, GA 31909-3540 | 2017-04-26 |
| 1689114738 | Adam David Norman | Specialist/Technologist | 6262 Veterans Pkwy, Columbus, GA 31909-3540 | 2017-03-07 |
| 1568914026 | Hughston Orthopaedic Southeast PC | Orthopaedic Surgery | 6262 Veterans Pkwy, Columbus, GA 31909-3540 | 2016-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747403 | Abundant Heart Healthcare Solution, LLC | Adult Companion | 6361 Talokas Lane, Ste C 140-279, Columbus, GA 31909 | 2020-07-14 |
| 1477185791 | Shandis Denise Phaneuf | Licensed Practical Nurse | 6545 Gregg Dr, Columbus, GA 31909 | 2020-02-05 |
| 1164086203 | Brock Musick | Physical Therapist | 100 First Court, Columbus, GA 31909 | 2019-04-24 |
| 1407340037 | Courtney Patterson | Behavior Technician | 5900 Warm Springs Road, Suite J, Columbus, GA 31909 | 2018-06-18 |
| 1225543515 | Oral & Facial Surgery of East Alabama, LLC | Dentist | 4405 N Stadium Drive, Suite A, Columbus, GA 31909 | 2017-12-08 |
| 1528577368 | Courtney Anne Young | Nurse Practitioner | 2700 Double Churches Rd, Apt 1207, Columbus, GA 31909 | 2017-09-25 |
| 1427573542 | Megan Renee Kwon | Dietitian, Registered | 4343 Warm Springs Road Apt. 110, Columbus, GA 31909 | 2017-08-09 |
| 1942659305 | Stephanie Mcghee | Dental Hygienist | 4835 Turnberry Lane, Columbus, GA 31909 | 2016-06-07 |
| 1770932162 | Tammy Allen | Dental Assistant | 701 Hoff Rd Building 9240, Ft. Benning, GA 31909 | 2016-06-07 |
| 1003265406 | Rhonda Mills | Dental Assistant | 7101 Hoff Rd Building 9240, Ft. Benning, GA 31909 | 2016-06-07 |
| Find all providers in zip 31909 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518566900 | Melissa Nameth | Nurse Practitioner | 3003 Cortona Rd, Columbus, OH 43204-4898 | 2020-10-18 |
| 1962019901 | Joshua Peltier | Nurse Practitioner | 2657 Summit St, Columbus, OH 43202-2434 | 2020-09-24 |
| 1891302949 | Lindsay Baughman | Nurse Practitioner | 5866 Regency Dr, Columbus, IN 47203-4551 | 2020-09-23 |
| 1114530706 | Renee Dawn Holloway-vaughan | Nurse Practitioner | 1317 Antietam Dr, Columbus, GA 31907-6887 | 2020-08-25 |
| 1063024354 | Nathaniel Z Raidel | Nurse Practitioner | 5699 Sandalwood Blvd, Columbus, OH 43229-3420 | 2020-08-19 |
| 1174134332 | Hailey Lyn Holman | Nurse Practitioner | 5141 W Broad St Ste 130, Columbus, OH 43228-1984 | 2020-08-12 |
| 1508475989 | Kara Shroff | Nurse Practitioner | 1127 Dublin Rd, Columbus, OH 43215-1005 | 2020-07-30 |
| 1265050553 | Mary Hoobler | Nurse Practitioner | 5059 N High St, Columbus, OH 43214-1589 | 2020-07-13 |
| 1417575200 | Candice Kilbarger | Nurse Practitioner | 2329 Keep Pl, Columbus, OH 43204-4989 | 2020-07-08 |
| 1295351872 | Christina Cotterman | Nurse Practitioner | 700 Children Dr, Columbus, OH 43205 | 2020-06-19 |
| Find all providers in COLUMBUS | ||||
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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.