JACQUELINE ECKERT NICHOLS (NPI# 1689971079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689971079 |
| Entity Type | Individual |
| Full Name | JACQUELINE ECKERT NICHOLS |
| Other Name | JACQULINE LEE ECKERT |
| Credential | PA-C |
| Practice Address |
5673 Peachtree Dunwoody Rd Ste 870 Atlanta GA 30342-5029 |
| Mailing Address |
Po Box 751461 Charlotte NC 28275-1461 |
| Practice Telephone | 4042552975 |
| Practice Fax Number | 4042552276 |
| Mailing Telephone | 8437926200 |
| Enumeration Date | 2011-02-21 |
| Last Update Date | 2019-12-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | SC | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
SC | Physician Assistants & Advanced Practice Nursing Providers | |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
8003 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
SC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396343943 | Jacqueline M Nichols | Licensed Vocational Nurse | 444 Executive Center Blvd Ste 148, El Paso, TX 79902-1096 | 2020-10-15 |
| 1538701743 | Jacqueline S Nichols | Developmental Therapist | 345a Greenwood St, Worcester, MA 01607-1753 | 2019-10-09 |
| 1639639685 | Jacqueline Wynne Nichols | Student in an Organized Health Care Education/Training Program | Univ of Washington Dept of Obgyn 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2019-03-24 |
| Street Address |
5673 PEACHTREE DUNWOODY RD STE 870 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30342-5029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710919600 | Won S Jeon | Nurse Practitioner | 5673 Peachtree Dunwoody Rd Ste 870, Atlanta, GA 30342-5029 | 2006-07-07 |
| 1942718739 | Madison Brooke Moore | Physician Assistant | 5673 Peachtree Dunwoody Rd Ste 870, Atlanta, GA 30342-5029 | 2018-01-16 |
| 1124489380 | Laura Collier Beacham | Physician Assistant | 5673 Peachtree Dunwoody Rd Ste 870, Atlanta, GA 30342-5029 | 2016-03-16 |
| 1598925109 | Eugenia Kim Page | Plastic Surgery | 5673 Peachtree Dunwoody Rd Ste 870, Atlanta, GA 30342-5029 | 2008-06-17 |
| 1598949679 | Bahair Hussein Ghazi | Plastic Surgery | 5673 Peachtree Dunwoody Rd Ste 870, Atlanta, GA 30342-5029 | 2007-12-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
| 1255945184 | Jennifer Lynne Cole | Behavior Technician | 5555 Glenridge Con Suite 200, Atlanta, GA 30342 | 2020-09-08 |
| 1093336232 | Van Tran | Respiratory Therapist, Registered | 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 | 2020-04-28 |
| 1356978340 | Twyla Douglas Jackson I | Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 | 2020-03-27 | |
| 1760013411 | Emily Hamm | Dietitian, Registered | 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 | 2020-01-31 |
| 1043855984 | Mackenzie Tucker Wayda | Registered Nurse | 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 | 2019-11-14 |
| 1386288454 | Tiauna Lashun Cochman | Psychologist | 1307 Glenridge Dr, Sandy Springs, GA 30342 | 2019-11-01 |
| 1164074399 | Stephen J. White | Hearing Instrument Specialist | 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 | 2019-07-09 |
| 1144788142 | Jaytyn LLC | Internal Medicine | 4600 Broswell Road, Atlanta, GA 30342 | 2019-03-08 |
| 1760954705 | Mishele Walker LLC | Counselor | 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 | 2018-12-31 |
| Find all providers in zip 30342 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912356775 | Jason Weddington | Physician Assistant | 5667 Peachtree Dunwoody Rd Ste 220, Atlanta, GA 30342-1725 | 2016-06-11 |
| 1578937181 | Vds Surgical Assistants, Inc. | Physician Assistant | 1307 W Garmon Rd, Atlanta, GA 30327-4405 | 2015-11-19 |
| 1407220379 | Simpson Surgery Group, LLC | Physician Assistant | 701 Highland Ave Ne Apt 1407, #1407, Atlanta, GA 30312-1454 | 2015-11-16 |
| 1417388232 | Tracey Lorena Tello | Physician Assistant | 931 Monroe Drive Ne, Suite 102 #641, Atlanta, GA 30308-7132 | 2013-12-04 |
| 1336587401 | Marissa B Highnote | Physician Assistant | 6045 Barfield Rd Ste 100, Atlanta, GA 30328-4402 | 2013-06-11 |
| 1396013223 | Signature Surgical Assistants | Physician Assistant | 2489 Kings Arms Dr Ne, Atlanta, GA 30345-2132 | 2011-12-07 |
| 1720364318 | Leah Strickland | Physician Assistant | 4279 Roswell Road Suite 102 Pmb 303, Atlanta, GA 30342 | 2011-10-26 |
| 1669798872 | Tiffiany Mccune | Physician Assistant | 4979 Lower Elm St, Atlanta, GA 30349-1677 | 2010-04-13 |
| 1306177233 | Hong Feng Shi | Physician Assistant | 4355 Cobb Pkwy Ste J131, Atlanta, GA 30339-3887 | 2010-01-15 |
| 1821256223 | Clyde D Johnson Jr. | Physician Assistant | 5881 Glendrige Dr Ne, Suite 120, Atlanta, GA 30328 | 2008-06-02 |
| Find all providers in ATLANTA | ||||
Please comment or provide details below to improve the information on JACQUELINE ECKERT NICHOLS.
| 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.