KIM RICHARD NICOLA (NPI# 1770608267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770608267 |
| Entity Type | Individual |
| Full Name | KIM RICHARD NICOLA |
| Credential | M.D. |
| Practice Address |
2928 Busbee Pkwy Nw 530 Kennesaw GA 30144-4820 |
| Practice Telephone | 7706274950 |
| Practice Fax Number | 7706274950 |
| Mailing Telephone | 7706274950 |
| Mailing Fax Number | 7706274950 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2008-01-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 027881 | GA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00312375D | 05 |
| Street Address |
2928 BUSBEE PKWY NW 530 |
| City | KENNESAW |
| State | GA |
| Zip Code | 30144-4820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205440054 | Physician Assistant Surgical Solutions | Surgery | 4290 Bells Ferry Road, Suite 134 - 1032, Kennesaw, GA 30144 | 2020-08-31 |
| 1487149340 | Creative Family Care Inc. | Social Worker | 1275 Shiloh Rd Nw Ste 3030, Kennesaw, GA 30144 | 2018-06-24 |
| 1033632203 | Octavio Andres Tobar | Specialist/Technologist | 1950 Barrett Lakes Blvd Nw Apt 1213, Kennesaw, GA 30144 | 2017-07-19 |
| 1851829220 | Sharon Mcmillan | Counselor | 1301 Shiloh Rd Nw Ste 1840, Kennesaw, GA 30144 | 2017-05-31 |
| 1073054680 | Metropolitan Health Care Plus Inc | Home Health | 445 Laurian Way, Kennesaw, GA 30144 | 2017-03-15 |
| 1649627969 | Caresouth Hha Holdings of Gainesville, LLC | Hospice Care, Community Based | 1000 Cobb Place Blvd Nw Ste 310, Kennesaw, GA 30144 | 2016-05-17 |
| 1851745988 | Joseph Mulligan | Social Worker | 1301 Shiloh Rd., Ste. 849, Kennesaw, GA 30144 | 2016-04-14 |
| 1629438601 | Youfit Health Clubs | Clinic/Center | 3895 Cherokee St Suite 100, Kennesaw, GA 30144 | 2016-03-03 |
| 1598156317 | Jodie Evans | Specialist | 1925 Vaughn Rd, Ste 200, Kennesaw, GA 30144 | 2015-02-16 |
| 1912302134 | Sleepmed Therapies, Inc. | Durable Medical Equipment & Medical Supplies | 1000 Cobb Place Blvd Nw Ste 510, Kennesaw, GA 30144 | 2014-10-30 |
| Find all providers in zip 30144 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063981678 | Kennesaw Luxary Hair Boutique | Specialist | 3555 Sanderlings Pointe Nw, Kennesaw, GA 30152-5822 | 2018-11-13 |
| 1598156317 | Jodie Evans | Specialist | 1925 Vaughn Rd, Ste 200, Kennesaw, GA 30144 | 2015-02-16 |
| 1114207164 | Mary D Hutton | Specialist | 825 Registry Ter Nw, Kennesaw, GA 30152-2855 | 2011-08-23 |
| 1407170475 | Suzette Karen Wilson | Specialist | 4172 Shiloh Ridge Trl Nw, Kennesaw, GA 30144-2160 | 2010-03-19 |
| 1477752061 | Harold Wendell Pitts | Specialist | 1350 Wooten Lake Rd Nw, Suite 101, Kennesaw, GA 30144-1349 | 2007-07-13 |
| 1558578070 | Jayne Thenise Middlebrooks | Specialist | 1652 Valor Ridge Dr Nw, Kennesaw, GA 30152-4838 | 2007-05-16 |
| 1366585846 | Northwest Allied Anesthesia Inc | Specialist | 1275 Shiloh Rd Nw, Ste. 2120, Kennesaw, GA 30144-7175 | 2007-02-15 |
| 1356764211 | Da Vinci Medical Arts | Specialist | 2911 George Busbee Pkwy Nw, Kennesaw, GA 30144-6908 | 2014-01-29 |
| 1750717096 | Valerie Brannon Aluisy | Specialist | 4255 Wade Green Rd Nw, Kennesaw, GA 30144-1762 | 2013-09-18 |
| 1528050804 | Yvette Andree George | Specialist | 750 Townpark Lane, Kaiser Permanente Townpark Medical Center, Kennesaw, GA 30144 | 2005-08-22 |
| Find all providers in KENNESAW | ||||
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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.