NICHOLAS LUECKE (NPI# 1477026599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477026599 |
| Entity Type | Individual |
| Full Name | NICHOLAS LUECKE |
| Credential | NP |
| Practice Address |
117 Kite Rd Swainsboro GA 30401-3231 |
| Practice Telephone | 4782891240 |
| Mailing Telephone | 4782891240 |
| Enumeration Date | 2019-01-11 |
| Last Update Date | 2019-01-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN209978 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
117 KITE RD |
| City | SWAINSBORO |
| State | GA |
| Zip Code | 30401-3231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114912524 | James R Payne | Physician Assistant | 117 Kite Rd, Swainsboro, GA 30401-3231 | 2005-09-13 |
| 1124650239 | Emanuel Medical Center | Pharmacy | 117 Kite Rd, Swainsboro, GA 30401-3231 | 2020-02-06 |
| 1891346789 | Rhonda F Oglesby | Nurse Practitioner | 117 Kite Rd, Swainsboro, GA 30401-3231 | 2019-09-23 |
| 1407417330 | Emc Physician Group | Family Medicine | 117 Kite Rd, Swainsboro, GA 30401-3231 | 2019-06-21 |
| 1043798648 | Emanuel County Hospital Authority | Clinic/Center | 117 Kite Rd, Swainsboro, GA 30401 | 2018-08-06 |
| 1487162616 | Wanda Nell Mcquitty | Nurse Practitioner | 117 Kite Rd, Swainsboro, GA 30401-3231 | 2018-01-23 |
| 1497288435 | Deidre Savedge Woods | Nurse Practitioner | 117 Kite Rd, Swainsboro, GA 30401-3231 | 2017-04-06 |
| 1144671769 | Jodi Brannen | Physician Assistant | 117 Kite Rd, Swainsboro, GA 30401-3231 | 2016-06-24 |
| 1740671908 | Emanuel County Hospital Authority | Psychiatric Unit | 117 Kite Rd, Swainsboro, GA 30401-3231 | 2015-02-10 |
| 1194007971 | Mary Jo Greenway | Nurse Practitioner | 117 Kite Rd, Second Floor, Swainsboro, GA 30401-3231 | 2011-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114589595 | Mandi Marion Wright | Nurse Practitioner | 117 Kight Road, Swainsboro, GA 30401 | 2019-07-05 |
| 1043767544 | Kathy Flakes | Licensed Practical Nurse | 223 N Anderson Drive, Swainsboro, GA 30401 | 2016-09-01 |
| 1023326220 | Family Podiatry Center PC | Podiatrist | 125a Victory Dr, Swainsboro, GA 30401 | 2010-09-22 |
| 1548578123 | United Rehab Inc | Clinic/Center | 856 U S Highway 1 South, Swainsboro, GA 30401 | 2010-09-17 |
| 1386967305 | William Donald Wages Jr. | Physical Therapy Assistant | 114 Victory Drive, Swainsboro, GA 30401 | 2010-03-04 |
| 1487989885 | Jimmy H Maddox | Nurse Practitioner | 117 Kite Road, Swainsboro, GA 30401 | 2009-10-02 |
| 1649319997 | Swainsboro Healthcare PC | Family Medicine | 305 Kite Road, Swainsboro, GA 30401 | 2007-02-05 |
| 1922153543 | Joyce Dianne Spence | Registered Nurse | 223 Anderson Dr N, Swainsboro, GA 30401 | 2007-01-24 |
| 1942355565 | Lucille Sapp | Registered Nurse | 223 N. Anderson Drive, Swainsboro, GA 30401 | 2007-01-24 |
| 1366592388 | Ogeechee Behavioral Health Services | Community/Behavioral Health | 1007 Highway 56 South, Swainsboro, GA 30401 | 2007-01-11 |
| Find all providers in zip 30401 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114589595 | Mandi Marion Wright | Nurse Practitioner | 117 Kight Road, Swainsboro, GA 30401 | 2019-07-05 |
| 1487989885 | Jimmy H Maddox | Nurse Practitioner | 117 Kite Road, Swainsboro, GA 30401 | 2009-10-02 |
| 1942390109 | Jennifer F. Harrison | Nurse Practitioner | 50 Highway 56 North, Swainsboro, GA 30401-4441 | 2006-10-16 |
| 1144204918 | Leila Smith Bragg | Nurse Practitioner | 328 W Main St, Swainsboro, GA 30401-3104 | 2005-12-05 |
| 1487162616 | Wanda Nell Mcquitty | Nurse Practitioner | 117 Kite Rd, Swainsboro, GA 30401-3231 | 2018-01-23 |
| 1437676277 | Jeniece L Cromartie | Nurse Practitioner | 114 S Jefferson St, Swainsboro, GA 30401-3146 | 2017-08-23 |
| 1174975726 | Amanda Sweat Jarriel | Nurse Practitioner | 124 Victory Dr, Swainsboro, GA 30401-3235 | 2016-07-07 |
| 1164881454 | Melissa Cheryl Kilgore | Nurse Practitioner | 131a Victory Dr, Swainsboro, GA 30401-3234 | 2016-02-16 |
| 1851767214 | Michael B Edenfield | Nurse Practitioner | 401 W Main St, Swainsboro, GA 30401-3110 | 2015-08-19 |
| 1457733826 | Kyle Cannady | Nurse Practitioner | 215 N Coleman St, Swainsboro, GA 30401-3530 | 2015-06-22 |
| Find all providers in SWAINSBORO | ||||
| City | SWAINSBORO |
| Zip Code | 30401 |
Please comment or provide details below to improve the information on NICHOLAS LUECKE.
| 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.