DR. VINCENT MICHAEL NICOLAIS


Address: 710 Center St, Columbus, GA 31901-1527
Phone: 7065711454

DR. VINCENT MICHAEL NICOLAIS (NPI# 1205978434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205978434
Entity Type Individual
Full Name DR. VINCENT MICHAEL NICOLAIS
Credential M.D.
Practice Address 710 Center St
Columbus
GA 31901-1527
Mailing Address 5110 Midland Trce
Midland
GA 31820-3426
Practice Telephone 7065711454
Mailing Telephone 7065614992
Mailing Fax Number 7065614992
Enumeration Date 2007-02-13
Last Update Date 2013-10-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RC0200X Internal Medicine
Specialization: Critical Care Medicine
131631 NY Allopathic & Osteopathic Physicians
N 207RC0200X Internal Medicine
Specialization: Critical Care Medicine
17941 CT Allopathic & Osteopathic Physicians
Y 207RC0200X Internal Medicine
Specialization: Critical Care Medicine
34676 GA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
GA 00462789C 05

Office Location

Street Address 710 CENTER ST
City COLUMBUS
State GA
Zip Code 31901-1527

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104821685 Lauren C Duty Pharmacist 710 Center St, Columbus, GA 31901-1527 2005-06-20
1215540034 Haytham Wali Pharmacist 710 Center St, Columbus, GA 31901-1527 2020-08-31
1255944062 Pooja Ojha Pharmacist 710 Center St, Columbus, GA 31901-1527 2020-08-31
1598378309 Nabilah Ahmed Pharmacist 710 Center St, Columbus, GA 31901-1527 2020-08-31
1548870827 Taylor Anne Miller Pharmacist 710 Center St, Columbus, GA 31901-1527 2020-08-03
1194335422 Megan Michelle Fonteno Pharmacist 710 Center St, Columbus, GA 31901-1527 2020-08-02
1932719390 Matthew Leland Holt Pharmacist 710 Center St, Columbus, GA 31901-1527 2020-07-31
1750991113 Courtney Mcdonald Pharmacist 710 Center St, Columbus, GA 31901-1527 2020-07-31
1770193138 Ann Nguyen Truong Pharmacist 710 Center St, Columbus, GA 31901-1527 2020-07-31
1851916902 Melanie Quiva Villarosa-sojan Nurse Anesthetist, Certified Registered 710 Center St, Columbus, GA 31901-1527 2020-06-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790396984 Chisholm Trail Urgent Care Pllc Emergency Medicine 11 Tsys Way, Columbus, GA 31901 2020-08-12
1770040099 Columbus Ga Homecare, LLC In Home Supportive Care 1501 13th Street., Suite G, Columbus, GA 31901 2019-02-22
1750868782 Health Matters, Inc. Clinic/Center 1124 13th St, Columbus, GA 31901 2018-07-23
1447754197 Charles Chacha Maroa Babere Student in an Organized Health Care Education/Training Program Columbus Regional Health, Midtown Medical Center, 1900 10th Avenue, Suit 100, Columbus, GA 31901 2018-03-19
1861912867 Demetria Laprel Mcgruder Community Health Worker 1230 2nd Ave., Columbus, GA 31901 2017-06-21
1679932016 Crystal Gayle Passmore Counselor 233 12th St Ste 334, Columbus, GA 31901 2016-02-13
1700256344 Kendra Ward Community Health Worker 1230 2nd Avenue, Columbus, GA 31901 2015-09-25
1437556701 Wendy Denise Thomas Adult Companion 1501 13th Street Suite F, Columbus, GA 31901 2014-12-02
1134523996 Danielle Elaine Berry General Practice Tree of Life Healthcare, 1968 North Avenue, Columbus, GA 31901 2014-10-22
1710239330 Kati Michelle Turner Pharmacist 1800 10th Avenue, Columbus, GA 31901 2012-10-05
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Taxonomy Information

Taxonomy Code 207RC0200X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Critical Care Medicine

Taxonomy Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891236733 Jing Gennie Wang Internal Medicine 473 W 12th Ave Ste 201, Columbus, OH 43210-1252 2017-03-11
1184852105 Carolinas Physicians Network, Inc. Internal Medicine 52 Hospital Dr, Suite 3-a, Columbus, NC 28722-8516 2009-06-29
1760425078 James Edward Macklin Internal Medicine 85 Mcnaughten Road, Suite 130, Columbus, OH 43213 2006-06-14
1679516983 James Alan Klein Internal Medicine 5969 E Broad St Ste 407, Columbus, OH 43213-1540 2006-06-14
1043270697 Pulmonary Medicine Inc Internal Medicine 5900 River Rd Ste 402, Columbus, GA 31904-4579 2006-03-27
1508849100 Paresh J Timbadia Internal Medicine 2760 Airport Drive, Suite 120, Columbus, OH 43219 2005-11-28
1912992694 Sivaraman Sivaswami Internal Medicine 2760 Airport Dr, Suite 120, Columbus, OH 43219-2284 2005-09-19
1992294953 Jordan Roeder Internal Medicine 3535 Olentangy River Rd, Columbus, OH 43214-3908 2018-05-05
1659883726 Eder Caceres Reatiga Internal Medicine 395 W 12th Ave, Columbus, OH 43210-1267 2017-10-30
1417494980 Select Pulmonary Associates LLC Internal Medicine 1087 Dennison Ave, Columbus, OH 43201-3201 2017-01-23
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Competitor

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City COLUMBUS
Zip Code 31901

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Dataset Information

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.

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