KACY LEIGH NICHOLS (NPI# 1770103780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770103780 |
| Entity Type | Individual |
| Full Name | KACY LEIGH NICHOLS |
| Credential | DO |
| Practice Address |
8560 Cook St Mt Pleasant NC 28124-7686 |
| Mailing Address |
270 Copperfield Blvd Ne Ste 202 Concord NC 28025-2441 |
| Practice Telephone | 7044366521 |
| Practice Fax Number | 7044369505 |
| Mailing Telephone | 7047212060 |
| Mailing Fax Number | 7044030470 |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2020-04-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 260755 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
8560 COOK ST |
| City | MT PLEASANT |
| State | NC |
| Zip Code | 28124-7686 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568459386 | Lolo Dobson | Family Medicine | 8560 Cook St, Mt Pleasant, NC 28124-7686 | 2005-10-06 |
| 1891315990 | Julia Kihm Bregenzer | Family Medicine | 8560 Cook St, Mt Pleasant, NC 28124-7686 | 2020-04-20 |
| 1023672219 | Andrew Hnat | Family Medicine | 8560 Cook St, Mt Pleasant, NC 28124-7686 | 2019-04-24 |
| 1750945978 | Macy Frye | Family Medicine | 8560 Cook St, Mt Pleasant, NC 28124-7686 | 2019-04-23 |
| 1235636382 | Kelsey Dawn Ash | Student in an Organized Health Care Education/Training Program | 8560 Cook St, Mt Pleasant, NC 28124-7686 | 2018-04-06 |
| 1801324686 | Mary Kathryn Key | Family Medicine | 8560 Cook St, Mt Pleasant, NC 28124-7686 | 2017-05-24 |
| 1487032827 | Jackson Long | Family Medicine | 8560 Cook St, Mt Pleasant, NC 28124-7686 | 2015-05-18 |
| 1538596127 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 8560 Cook St, Mt Pleasant, NC 28124-7686 | 2013-09-27 |
| 1154612125 | Jennifer King Scott | Student in an Organized Health Care Education/Training Program | 8560 Cook St, Mt Pleasant, NC 28124-7686 | 2011-04-26 |
| 1134420052 | Carolinas Physicians Network Inc | Psychologist | 8560 Cook St, Mt Pleasant, NC 28124-7686 | 2010-11-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629635024 | Michelle Lee Dewar | Chiropractor | 5605 Hwy 49, Mt Pleasant, NC 28124 | 2019-05-22 |
| 1649712126 | Paula J Yost | Counselor | 5605 Highway 49, Mount Pleasant, NC 28124 | 2016-11-15 |
| 1386780534 | William Whitaker Moose Jr. | Pharmacist | 8374 W. Franklin St., Mount Pleasant, NC 28124 | 2007-01-29 |
| 1396981239 | Moose Drug Company | Pharmacy | 8374 West Franklin Street, Mount Pleasant, NC 28124-0067 | 2008-12-24 |
| 1104987361 | Michael Lee Mock | Dentist | 1476 South Main St., Mt. Pleasant, NC 28124-0847 | 2006-12-12 |
| 1508926718 | Michael L. Mock, Dds Pa | Dentist | 1476 S Main St., Mt. Pleasant, NC 28124-0847 | 2006-12-11 |
| 1417275678 | Audra Griffin Misenheimer | Counselor | 8555 North Dr, Mt Pleasant, NC 28124-7809 | 2010-05-12 |
| 1023487519 | Tabitha Nichole Cook | Social Worker | 8894 Oldenburg Dr, Mount Pleasant, NC 28124-8543 | 2015-09-15 |
| 1033346887 | Monarch | Community/Behavioral Health | 900 Circle Dr, Mount Pleasant, NC 28124-8555 | 2009-06-19 |
| 1265578355 | Piedmont Residential Development Center, Inc | Intermediate Care Facility, Mentally Retarded | 10100 Mount Olive Rd, Mount Pleasant, NC 28124-8600 | 2007-01-29 |
| Find all providers in zip 28124 | ||||
| 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 |
|---|---|---|---|---|
| 1841801149 | Palmetto Primary Care Physicians, LLC | Family Medicine | 1200 Two Island Ct Unit E, Mt Pleasant, SC 29466-7418 | 2020-08-11 |
| 1790219970 | Adam Hudepohl | Family Medicine | 1400 Ben Sawyer Blvd, Mt Pleasant, SC 29464 | 2017-04-14 |
| 1093163339 | Julia Killingsworth Isom | Family Medicine | 180 Wingo Way Ste 207, Mt Pleasant, SC 29464-1811 | 2016-05-26 |
| 1477907350 | Christina Danielle Downer | Family Medicine | 2853 Health Pkwy Ste B, Mt Pleasant, MI 48858-9375 | 2016-04-18 |
| 1154793362 | Paladina Health, LLC | Family Medicine | 917 Houston Northcutt Blvd, Mt Pleasant, SC 29464-3448 | 2015-10-27 |
| 1790166163 | Sylvia Lee Clarkson | Family Medicine | 1440 Ben Sawyer Blvd Ste 1109, Mt Pleasant, SC 29464-5526 | 2015-06-11 |
| 1891106225 | Andrew Schleihauf | Family Medicine | 508 S Church St Ste 200, Mt Pleasant, PA 15666-1702 | 2014-05-20 |
| 1356695290 | Mount Pleasant Physicians,pllc | Family Medicine | 202 W 19th St, Mt Pleasant, TX 75455-2320 | 2012-10-30 |
| 1396048765 | Annu Mohan Md Pllc | Family Medicine | 2480 Rosewood Dr, Mt Pleasant, MI 48858-5003 | 2010-12-07 |
| 1356579890 | Ghassan N Hamadeh | Family Medicine | 1223 Vestige Sq, Mt Pleasant, SC 29464-9031 | 2009-06-23 |
| Find all providers in MT PLEASANT | ||||
| City | MT PLEASANT |
| Zip Code | 28124 |
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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.