WILLIAM J NICHOLSON (NPI# 1861435406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861435406 |
| Entity Type | Individual |
| Full Name | WILLIAM J NICHOLSON |
| Credential | MD |
| Practice Address |
1365 Clifton Rd Ne Atlanta GA 30322-1013 |
| Practice Telephone | 7178512441 |
| Mailing Telephone | 7178512441 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2020-03-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD428324 | PA | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
51365 | GA | Allopathic & Osteopathic Physicians |
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
MD428324 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | HIGHMARK BLUE SHIELD | 1877187 | 01 |
| PA | 101672879 | 05 | |
| PA | RAILROAD MEDICARE PIN | P00418739 | 01 |
| PA | CAPITAL BLUE CROSS | 50065666 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851789580 | William Lawrence Nicholson | Otolaryngology | 360 W 37th St, Sea Island, GA 31561-9748 | 2015-01-05 |
| 1982867685 | William Lanier Nicholson | Family Medicine | 563 Oak Ridge Drive, Hiawassee, GA 30546-2224 | 2008-07-03 |
| 1205962305 | William Spratley Nicholson | Pharmacist | 6900 Atmore Dr Rm 3127a, Richmond, VA 23225-5644 | 2007-02-26 |
| 1427017250 | William B Nicholson | Nurse Anesthetist, Certified Registered | C/o Imperial Point Medical Center, 6401 North Federal Highway, Fort Lauderdale, FL 33306 | 2006-03-21 |
| 1205832326 | William Daniel Nicholson IIi | Surgery | 700 Walter Reed Blvd, Ste 301, Garland, TX 75042-3716 | 2005-06-23 |
| 1154327617 | William D Nicholson Iv | Surgery | 8080 Independence Pkwy, Ste 115, Plano, TX 75025-4000 | 2005-06-21 |
| 1225431323 | William Nicholson | Nurse Practitioner | 700 19th St S, Birmingham, AL 35233-1927 | 2014-10-02 |
| 1932334513 | William Nicholson | Physical Therapist | 953 E Aurora Rd, Macedonia, OH 44056-1953 | 2009-05-26 |
| 1851441513 | William Henry Nicholson | Dentist | 4105 W Spring Creek Pkwy, Ste 502, Plano, TX 75024-5283 | 2007-01-12 |
| 1669539219 | William N Nicholson | Psychologist | 820 Arlington Ave, Petoskey, MI 49770-2469 | 2007-01-02 |
| Street Address |
1365 CLIFTON RD NE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30322-1013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124022637 | Richard Duszak Jr. | Radiology | 1365 Clifton Rd Ne, Emory University Department of Radiology, Atlanta, GA 30322-1013 | 2005-06-13 |
| 1891319091 | Kayla Sondria Freeman | Registered Nurse | 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2020-06-03 |
| 1548881576 | Rachelle Leona Rouse | Student in an Organized Health Care Education/Training Program | 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2020-04-30 |
| 1982233227 | Kayla Anne Nichols | Pharmacist | 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2020-04-08 |
| 1326675380 | Tankeia Tanye' Warren | Nurse Practitioner | 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2020-03-26 |
| 1407488687 | Bethany Joan Hanscom | Physician Assistant | 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2020-02-06 |
| 1518505577 | Juanjuan Wu | Nurse Practitioner | 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2019-12-20 |
| 1942847587 | Nour Majed Moukalled | Internal Medicine | 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2019-12-02 |
| 1528604816 | Tram Bao Vu | Physician Assistant | 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2019-11-21 |
| 1083266845 | Desiree Morgan Rogers | Nurse Practitioner | 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2019-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700445830 | Justin Gill | Student in an Organized Health Care Education/Training Program | 1365 Clifton Rd Ne, Clinic B - Suite B6100, Atlanta, GA 30322 | 2019-06-12 |
| 1891354510 | Gwendolyn Gisiner Gunn | Genetic Counselor, MS | Emory Genetics Clinic, 1365 Clifton Road Ne, Atlanta, GA 30322 | 2019-06-06 |
| 1144710567 | Lisa Cathy-ann Akosa | Registered Nurse | 1365 Cifton Road Ne, Atlanta, GA 30322 | 2018-05-10 |
| 1083118004 | Jessica Milian Keilson | Student in an Organized Health Care Education/Training Program | 1364 Clifton Road Ne, Suite H100, Emory University Hospital Office of Surgical Education, Atlanta, GA 30322 | 2018-03-23 |
| 1568982684 | Jennifer Bilko | Dietitian, Registered | 1365 Clifton Rd., Bldg A, 1st Floor, Suite 1450, Atlanta, GA 30322 | 2017-06-20 |
| 1134652258 | Kassahun Bilcha | Student in an Organized Health Care Education/Training Program | 1525 Clifton Rd Ne Ste 100, Atlanta, GA 30322 | 2017-04-05 |
| 1356872246 | Tova Rogers | Dermatology | 1525 Clifton Road Suite 105, Atlanta, GA 30322 | 2017-03-23 |
| 1194271445 | Dina Amin | Dentist | 1365 Clifton,building B, Oral and Maxillofacial Surgery, Suite 2300, Atlanta, GA 30322 | 2016-08-28 |
| 1427404904 | Rita Kaur Kuwahara | Student in an Organized Health Care Education/Training Program | 100 Woodruff Circle, Suite 327, Atlanta, GA 30322 | 2016-05-13 |
| 1891176251 | Octav Cristea | Transplant Surgery | 1365 Clifton Road Northeast, Building B, 6th Floor, Atlanta, GA 30322 | 2015-06-11 |
| Find all providers in zip 30322 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558869826 | Coordinated Health of Ga, LLC | Internal Medicine | 10 Glenlake Pkwy Ste 130c, Atlanta, GA 30328-3495 | 2018-01-31 |
| 1821082389 | Jack P Chen | Internal Medicine | 5670 Peachtree Dunwoody Rd Ste 880, Atlanta, GA 30342-4789 | 2005-09-09 |
| 1861004780 | Innovative Vascular & Vein of Atlanta | Internal Medicine | 1100 Lake Hearn Dr, Atlanta, GA 30342-1523 | 2020-08-21 |
| 1053874727 | Cga Care of Ga, LLC | Internal Medicine | 10 Glenlake Pkwy Ste 130, Atlanta, GA 30328-3495 | 2019-04-10 |
| 1790248474 | Cga Care of Ga II, LLC | Internal Medicine | 10 Glenlake Pkwy Ste 130, Atlanta, GA 30328-3495 | 2019-04-10 |
| 1427577592 | David Allen | Internal Medicine | 95 Collier Rd Nw Ste 2065, Atlanta, GA 30309-1705 | 2017-09-11 |
| 1366605552 | Pradeep Yadav | Internal Medicine | 95 Collier Rd Nw Ste 5015, Atlanta, GA 30309-1721 | 2008-07-08 |
| 1396807798 | Del Mazo Medical Services | Internal Medicine | 550 Peachtree St Ne, Suite 1035, Atlanta, GA 30308-2221 | 2006-12-14 |
| 1245316496 | Cardiac Disease Specialists, PC | Internal Medicine | 4890 Roswell Rd Ne, Ste 200, Atlanta, GA 30342-2606 | 2006-10-31 |
| 1497840144 | Cardiac Disease Specialists, PC | Internal Medicine | 4890 Roswell Rd Ne, Ste 100, Atlanta, GA 30342-2606 | 2006-10-04 |
| Find all providers in ATLANTA | ||||
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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.