NICKLAUS TRENT RICE


Address: 2750 Owens Dr, Conyers, GA 30094
Phone: 6784134644

NICKLAUS TRENT RICE (NPI# 1508155268) 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) 1508155268
Entity Type Individual
Full Name NICKLAUS TRENT RICE
Credential M.D.
Practice Address 2750 Owens Dr
Conyers
GA 30094
Mailing Address 2750 Owens Rd Sw
Conyers
GA 30094-3991
Practice Telephone 6784134644
Mailing Telephone 6784134644
Enumeration Date 2011-04-04
Last Update Date 2019-11-13
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207VG0400X Obstetrics & Gynecology
Specialization: Gynecology
MD0000046779 TN Allopathic & Osteopathic Physicians
Y 207VF0040X Obstetrics & Gynecology
Specialization: Female Pelvic Medicine and Reconstructive Surgery
GA72427 GA Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
3601 Tvc, Nashville, TN 372320001 6153223000

Office Location

Street Address 2750 OWENS DR
City CONYERS
State GA
Zip Code 30094

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164029054 Darlene Fletcher Counselor 827 St. Clair Dr., Conyers, GA 30094 2020-10-05
1194363366 Clara A Matthews Physician Assistant 1930 Windsor Creek Drive Sw, Conyers, GA 30094 2019-12-18
1659838571 Sensitive Home Care Agency Inc. PACE Provider Organization 2225 Morning Dew, Conyers, GA 30094 2019-02-27
1679097992 Sheira Dennis Case Management 3828 Martingale Dr Se, Conyers, GA 30094 2017-07-28
1730571399 Wellness and Trauma Recovery Center Counselor 1775 Parker Rd. Building C, Suite 210, Conyers, GA 30094 2015-02-19
1760870612 Michael Terrell Technician/Technologist 806 Cambridge Creek Dr, Conyers, GA 30094 2014-12-30
1538567466 Jennifer Angela Johnson Registered Nurse 2240 Wren Rd Se, Conyers, GA 30094 2014-12-09
1225445208 Wanda Marcella Rainey-reed Counselor 1453 Klondike Rd Sw Ste D, Conyers, GA 30094 2014-07-22
1720219660 Candace Alexander Dentist 863 Flat Shoals Rd Se, Suite C #220, Conyers, GA 30094 2009-07-27
1134383565 Eastern Health Center PC General Practice 1455 Old Mcdonough Hwy #c, Conyers, GA 30094 2008-07-15
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Taxonomy Information

Taxonomy Code 207VF0040X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology
Specialization Female Pelvic Medicine and Reconstructive Surgery

Taxonomy Definition

A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.
Notes: Source: American Board of Medical Specialties, 2011. [1/1/2012: new] Resources: www.abms.org

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1982108098 Bamp Clinics Georgia, LLC Obstetrics & Gynecology 3405 Dallas Hwy Sw Ste 200, Marietta, GA 30064-6426 2018-03-22
1447418843 Joye Katrese Lowman Obstetrics & Gynecology 2001 Peachtree Rd Ne Ste 670, Atlanta, GA 30309-1632 2008-06-02
1912936758 Folusho A. Tugbiyele Obstetrics & Gynecology 11660 Alpharetta Hwy Ste 710, Roswell, GA 30076-4916 2006-07-02
1174154421 Southeastern Urogynecology and Pelvic Surgery LLC Obstetrics & Gynecology 115 31st Ave Se, Moultrie, GA 31768-6771 2020-01-27
1205472362 Advanced Gynecology PC Obstetrics & Gynecology 1800 Peachtree St Nw Ste 660, Atlanta, GA 30309-2522 2019-11-25
1518512953 Buckhead Urogynecology Obstetrics & Gynecology 2001 Peachtree Rd Ne Ste 670, Atlanta, GA 30309-1632 2019-08-02
1831659440 Advanced Gynecology PC Obstetrics & Gynecology 11660 Alpharetta Hwy Ste 710, Roswell, GA 30076-4916 2019-03-20
1093296824 Advanced Gynecology PC Obstetrics & Gynecology 1357 Oconee Connector, Athens, GA 30606 2018-08-29
1013385467 Kenny R Sinervo Md Obstetrics & Gynecology 1140 Hammond Dr, Bldg F S-6220, Atlanta, GA 30328-5338 2015-09-02
1245577048 Effingham Hospital, Inc. Obstetrics & Gynecology 1451 Highway 21 S Ste H, Springfield, GA 31329-5244 2013-01-14
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Competitor

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City CONYERS
Zip Code 30094

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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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