GEORGE L. NICHOLS JR. (NPI# 1588637599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588637599 |
| Entity Type | Individual |
| Full Name | GEORGE L. NICHOLS JR. |
| Credential | MD |
| Practice Address |
321 Mulberry St Sw Lenoir NC 28645-5720 |
| Mailing Address |
Po Box 49009 Greenwood SC 29649-0001 |
| Practice Telephone | 8287575267 |
| Practice Fax Number | 8281575255 |
| Mailing Telephone | 8642233070 |
| Mailing Fax Number | 8642231396 |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2008-01-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
9401280 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8911788 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821283292 | George F Nichols | Dentist | 310 Beech St, Hackensack, NJ 07601-2125 | 2007-09-10 |
| 1073660577 | George R Nichols II | Legal Medicine | 6013 Brownsboro Park Blvd, Suite D, Louisville, KY 40207-1293 | 2007-01-05 |
| 1609883040 | George T Nichols | Psychologist | 1014 Vaquero Rd, Pebble Beach, CA 93953-2734 | 2006-08-01 |
| 1770035313 | George Nichols | Psychologist | 3326 Durham Chapel Hill Blvd Ste 230, Durham, NC 27707-6239 | 2016-10-31 |
| 1073730693 | George Richard Nichols | Dermatology | 303 N Keene St, Suite 201, Columbia, MO 65201-7193 | 2007-04-18 |
| 1427050152 | George K Nichols | Orthopaedic Surgery | 3450 11th Ct, Suite 302a, Vero Beach, FL 32960-5012 | 2005-08-12 |
| Street Address |
321 MULBERRY ST SW |
| City | LENOIR |
| State | NC |
| Zip Code | 28645-5720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184620593 | John Albert Dew Jr. | Internal Medicine | 321 Mulberry St Sw, Caldwell Acute Care Specialists, Lenoir, NC 28645-5720 | 2005-06-22 |
| 1538783915 | Caldwell Memorial Hospital, Inc. | Physician Assistant | 321 Mulberry St Sw, Lenoir, NC 28645-5720 | 2020-06-02 |
| 1528550878 | George Awad | Pharmacist | 321 Mulberry St Sw, Lenoir, NC 28645-5720 | 2018-06-02 |
| 1427546860 | Jeffrey Emanuel Mozgala | Nurse Practitioner | 321 Mulberry St Sw, Lenoir, NC 28645 | 2018-05-01 |
| 1780192500 | Mark Dellinger | Nurse Practitioner | 321 Mulberry St Sw, Lenoir, NC 28645-5720 | 2018-01-15 |
| 1437678836 | Kindra Littman | Nurse Practitioner | 321 Mulberry St Sw, Lenoir, NC 28645-5720 | 2017-09-18 |
| 1053833277 | Geoffrey Wayne Wright | Physician Assistant | 321 Mulberry St Sw, Lenoir, NC 28645-5720 | 2017-07-10 |
| 1821538893 | Mykah Payne Wike | Nurse Practitioner | 321 Mulberry St Sw, Lenoir, NC 28645-5720 | 2017-02-24 |
| 1578011169 | Janet Marie Norwood | Physical Therapist | 321 Mulberry St Sw, Lenoir, NC 28645-5720 | 2016-09-13 |
| 1982017661 | Cory Wiles | Physician Assistant | 321 Mulberry St Sw, Lenoir, NC 28645-5720 | 2014-06-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477174597 | Healthstat Onsite Clinic Mccreary Modern Plant 6 | Preventive Medicine | 2961 Rocky Road, Lenoir, NC 28645 | 2020-04-29 |
| 1912485780 | Brandi Fitzgerald Newell | Nurse Practitioner | 902 Kirkwood Street Nw, Lenoir, NC 28645 | 2018-08-02 |
| 1568911345 | Kimberly Fletcher | Physical Therapist | 1031 Morganton Blvd. Sw, Lenoir, NC 28645 | 2016-09-22 |
| 1093115743 | Dana May Yang | Pharmacist | 875 Blowing Road Blvd, Lenior, NC 28645 | 2014-08-31 |
| 1659780542 | Brinkley & Associates of Lenoir | Dentist | 230 Morganton Boulevard Sw, Lenoir, NC 28645 | 2014-08-05 |
| 1194148858 | Cheryl Ann Simpson | Contractor | 7951 Rocky Knob Rd, Lenoir, NC 28645 | 2014-01-30 |
| 1013266048 | Mccreary Cancer Center | Clinic/Center | 212 Mulberry Street Sw, Lenoir, NC 28645 | 2012-09-06 |
| 1356651145 | Anthony Kwasi Essien | Pharmacist | 102 Harper Ave., Lenoir, NC 28645 | 2010-10-14 |
| 1033344866 | Thomas J Young | Surgery | 401 Mulberry Street, Sw, Suite 202, Lenoir, NC 28645 | 2009-05-22 |
| 1821238155 | Mark C Kammer | Physical Therapist | 1041 Morganton Blvd, Ste 200, Lenoir, NC 28645 | 2009-02-26 |
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| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427240613 | Robert C. Buresh | Pathology | 321 Mulberry St Sw, Lenoir, NC 28645-5720 | 2007-08-13 |
| 1447223052 | Donald Drake Mcneill | Pathology | 321 Mulberry St Sw, Lenoir, NC 28645-5720 | 2006-02-13 |
| 1215900287 | Donald D Mcneill Md Pa | Pathology | 321 Mulberry St Sw, Lenoir, NC 28645-5720 | 2006-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508484965 | Azad Bakht | Pathology | Medical Center Boulevard Department of Pathology, Winston Salem, NC 27157-0001 | 2020-07-10 |
| 1316401375 | Celligent Diagnostics, LLC | Pathology | 101 E W T Harris Blvd Ste 1212, Charlotte, NC 28262-3423 | 2019-01-24 |
| 1487170387 | Coastal Carolina Pathology, Pa | Pathology | 2606 Iron Gate Dr Ste 201, Wilmington, NC 28412-2494 | 2017-08-22 |
| 1134651748 | Elsa Mondou | Pathology | 6008 Bunchberry Ct, Raleigh, NC 27616-5454 | 2017-04-02 |
| 1578910006 | Jennifer Michelle Crimmins | Pathology | Dumc 3712, Durham, NC 27710-4220 | 2016-05-13 |
| 1407237811 | Cori Breslauer | Pathology | Pathology and Lab Medicine, Bbb Cb 7525, Chapel Hill, NC 27599-7525 | 2015-06-11 |
| 1548668338 | Cheryl Levine | Pathology | 1740 Montclair Ave, Gastonia, NC 28054-4848 | 2014-12-11 |
| 1396005369 | Bart B Singer | Pathology | Unc Pathology Cb 7525 Brinkhous-bullitt Building, Chapel Hill, NC 27599-7525 | 2012-05-23 |
| 1750670279 | Nathan Samuel Cuka | Pathology | 3333 Silas Creek Pkwy Fl 1, Winston Salem, NC 27103-3013 | 2011-04-05 |
| 1669790994 | Sara Elizabeth Wobker | Pathology | 303 Brinkhouse Bullitt Bldg, Department of Pathology, Cb# 7525, Chapel Hill, NC 27599-7525 | 2010-05-11 |
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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.