DR. MICHELLE NICHOLS (NPI# 1760482780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760482780 |
| Entity Type | Individual |
| Full Name | DR. MICHELLE NICHOLS |
| Credential | MD |
| Practice Address |
1513 East Cleveland Ave Building 500 East Point GA 30344 |
| Mailing Address |
75 Piedmont Ave Ste 700 Atlanta GA 30303-2544 |
| Practice Telephone | 4047521000 |
| Practice Fax Number | 4047521191 |
| Mailing Telephone | 4047565764 |
| Mailing Fax Number | 4047565252 |
| Enumeration Date | 2005-08-01 |
| Last Update Date | 2011-11-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 038890 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000655421A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124562558 | Michelle Dimond Nichols | Dietitian, Registered | 2716 Barbara Ln, Oceanside, CA 92056-3339 | 2016-12-04 |
| 1003055963 | Michelle Lee Nichols | Licensed Practical Nurse | 7002 Roush Rd, Hillsboro, OH 45133-9165 | 2009-02-16 |
| 1003071077 | Michelle Lynn Nichols | Developmental Therapist | 9081 Wallonia Rd, Princeton, KY 42445-9012 | 2008-07-18 |
| 1407036486 | Michelle Ann Nichols | Pharmacist | 205 S Caroline St, Herkimer, NY 13350-2248 | 2007-11-07 |
| 1780221218 | Michelle Maria Nichols | Physical Therapy Assistant | 601 S 8th St, Tacoma, WA 98405-4614 | 2019-12-03 |
| 1942753082 | Michelle Ann Nichols | Registered Nurse | 1716 Hartford St., Lafayette, IN 47904-2138 | 2016-07-25 |
| 1922351097 | Michelle Nichols | Rehabilitation Practitioner | 5615 S Pecos Rd, Las Vegas, NV 89120-1961 | 2012-10-25 |
| 1215178652 | Michelle G Nichols | Registered Nurse | 1201 Broad Rock Blvd, Richmond, VA 23249-0001 | 2009-03-16 |
| 1285895102 | Michelle D. Nichols | Genetic Counselor, MS | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2008-06-23 |
| 1407935455 | Michelle Hattie Nichols | Social Worker | 5030 Northwind Dr Ste 108, East Lansing, MI 48823-5034 | 2006-11-02 |
| Street Address |
1513 EAST CLEVELAND AVE BUILDING 500 |
| City | EAST POINT |
| State | GA |
| Zip Code | 30344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528068194 | Gregory Strayhorn | Family Medicine | 1513 East Cleveland Ave, Bldg. 500, East Point, GA 30344-6947 | 2005-07-26 |
| 1942520192 | Isioma Chinwendu Okwumabua | Family Medicine | 1513 East Cleveland Ave, Building 500, East Point, GA 30344-6949 | 2010-06-09 |
| 1437282118 | Harry J. Heiman | Family Medicine | 1513 East Cleveland Ave, Building, East Point, GA 30344 | 2007-03-13 |
| 1508866948 | Dominic Mack | Family Medicine | 1513 East Cleveland Ave, Building 500, East Point, GA 30344 | 2005-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306468053 | Comfortlink Healthcare, LLC | Home Health | 2691 Harris Street, Eastpoint, GA 30344 | 2020-05-15 |
| 1881159028 | Brandon Norris Spires | Specialist/Technologist | 6000 S Terminal Pkwy, Atlanta, GA 30344 | 2019-02-01 |
| 1568983435 | Rhonda Charlette Bussey | Social Worker | 3173 Delowe Dr, East Point, GA 30344 | 2017-06-30 |
| 1801324603 | Megan Marie Timpone | Physician Assistant | 1135 Cleveland Ave Ste 513, Atlanta, GA 30344 | 2017-05-24 |
| 1861837577 | Propsych Behavioral Health Care Services LLC | Community/Behavioral Health | 1847 Washington Road, East Point, GA 30344 | 2013-05-08 |
| 1932459096 | Kimberly Ann Bogard | Counselor | 4373 Sun Valley Blvd Rm A, East Point, GA 30344 | 2012-09-17 |
| 1376815621 | Love Angels | Home Health | 307 Crest Ridge Dr., East Point, GA 30344 | 2012-02-02 |
| 1861701054 | John Allen Reed IIi | Physical Therapist | 1657 Dorsey Ave., East Point, GA 30344 | 2010-10-05 |
| 1437482783 | Winston Daniels | Home Health Aide | 5100 High Point Rd Ste.36, Union City, GA 30344 | 2009-09-17 |
| 1649405572 | Kenyotta Hannah | Counselor | 1514 Cleveland Avenue, East Point, GA 30344 | 2009-05-21 |
| Find all providers in zip 30344 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437461050 | Henry Watson Jr. | Family Medicine | 1795 Washington Ave, East Point, GA 30344-4149 | 2010-07-12 |
| 1548433428 | The Morehouse School of Medicine | Family Medicine | 1513 Cleveland Ave Ste 500, East Point, GA 30344-6949 | 2008-04-10 |
| 1831186857 | Barbara Mcmillan-persaud | Family Medicine | 1513 E. Cleveland Ave., Bldg. 500, East Point, GA 30334-1640 | 2005-10-04 |
| 1386644961 | Manjushree Ghose | Family Medicine | 1595 Cleveland Ave, East Point, GA 30344-3200 | 2005-07-26 |
| 1528068194 | Gregory Strayhorn | Family Medicine | 1513 East Cleveland Ave, Bldg. 500, East Point, GA 30344-6947 | 2005-07-26 |
| 1174523039 | Yuan-xiang Meng | Family Medicine | 1513 Cleveland Ave, Bldg 500, East Point, GA 30344-6947 | 2005-07-21 |
| 1326048299 | Riba Kelsey | Family Medicine | 1513 East Cleveland Ave., Building 500, East Point, GA 30344 | 2005-07-21 |
| 1043210974 | Kitty B Carter-wicker | Family Medicine | 1513 Cleveland Ave Bldg 500, East Point, GA 30344-6903 | 2005-07-21 |
| 1922546233 | Tri-cities Medical Associates | Family Medicine | 1795 Washington Rd, East Point, GA 30344-4149 | 2017-02-07 |
| 1962898593 | Esther Ufot | Family Medicine | 2084 Headland Dr, East Point, GA 30344 | 2015-04-10 |
| Find all providers in EAST POINT | ||||
| City | EAST POINT |
| Zip Code | 30344 |
Please comment or provide details below to improve the information on DR. MICHELLE 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.