DR. JEFFREY M NICHOLAS (NPI# 1942382445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942382445 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY M NICHOLAS |
| Credential | MD |
| Practice Address |
631 Professional Dr Suite 120 Lawrenceville GA 30046-3367 |
| Mailing Address |
631 Professional Dr Ste 120 Lawrenceville GA 30046-3370 |
| Practice Telephone | 6783123290 |
| Practice Fax Number | 6783122733 |
| Mailing Telephone | 6783123290 |
| Mailing Fax Number | 6783122733 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2020-11-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 048377 | GA | Allopathic & Osteopathic Physicians |
| Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
048377 | GA | Allopathic & Osteopathic Physicians |
| N | 2086S0127X |
Surgery Specialization: Trauma Surgery |
048377 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487043212 | Jeffrey Nicholas | Pharmacist | 1121 S Us Highway 25e, Barbourville, KY 40906-8005 | 2015-01-16 |
| Street Address |
631 PROFESSIONAL DR SUITE 120 |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30046-3367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104800572 | Lawrence D Kaplan | Internal Medicine | 631 Professional Dr, Suite 350, Lawrenceville, GA 30046-3367 | 2005-11-30 |
| 1477116564 | Yelitza Mari Guzman | Nurse Practitioner | 631 Professional Dr, Lawrenceville, GA 30046-3367 | 2019-04-15 |
| 1952836835 | Georgia Plastic Surgery & Reconstructive Care PC | Plastic Surgery | 631 Professional Dr, Suite 240, Lawrenceville, GA 30046-3367 | 2017-04-27 |
| 1093260564 | Rebeca C Klatt | Nurse Practitioner | 631 Professional Dr, Suite 450, Lawrenceville, GA 30046-3367 | 2016-08-24 |
| 1972910768 | Cavells Inc | Prosthetic/Orthotic Supplier | 631 Professional Dr, Suite 230, Lawrenceville, GA 30046-3367 | 2014-07-14 |
| 1972918050 | Georgia Breast Surgery PC | Surgery | 631 Professional Dr, Suite 240, Lawrenceville, GA 30046-3367 | 2014-06-26 |
| 1093066706 | Rebekah E Thomas | Physician Assistant | 631 Professional Dr, Suite 360, Lawrenceville, GA 30046-3367 | 2012-09-21 |
| 1043587264 | Rosalee M Gobeille-dormio | Nurse Practitioner | 631 Professional Dr, Suite 360, Lawrenceville, GA 30046-3367 | 2011-11-17 |
| 1396037057 | Jill Brannan Danielson | Nurse Practitioner | 631 Professional Dr, Suite 360, Lawrenceville, GA 30046-3367 | 2011-05-12 |
| 1396049383 | Gwinnett Surgical Associates, LLP | Surgery | 631 Professional Dr, Suite 300, Lawrenceville, GA 30046-3367 | 2011-01-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063023174 | Alpha & Omega Hearing Centers | Hearing Instrument Specialist | Alpha & Omega Hearing Centers, 250 Langley Drive, Suite 1106, Lawrenceville, GA 30046 | 2020-08-12 |
| 1285259846 | Mesun Health Services, Inc | Clinical Nurse Specialist | 88 Johnson Rd Building # 1-b, Lawrenceville, GA 30046 | 2020-06-10 |
| 1215550264 | Mesun Health Services, Inc | Skilled Nursing Facility | 88 Johnson Rd. Building #2, Lawrenceville, GA 30046 | 2020-05-26 |
| 1306499785 | Bryan Acosta | Chiropractor | 471 Scenic Hwy South, Lawrenceville, GA 30046 | 2019-07-24 |
| 1205308616 | Belle Lumiere Cosmetics LLC | Dermatology | 753 Old Norcross Road, Lawrenceville, GA 30046 | 2018-12-24 |
| 1548730179 | Alexis Nicole Robinson | Nurse Anesthetist, Certified Registered | 1000 Medical Center Boulevard, Lawrenceville, GA 30046 | 2018-11-27 |
| 1679060388 | Christopher Puckett | Student in an Organized Health Care Education/Training Program | 665 Duluth Hwy Suite 501, Lawrenceville, GA 30046 | 2018-04-18 |
| 1457851255 | Advanced Urology Institute of Georgia | Urology | 501 Crown Point Way, Lawrenceville, GA 30046 | 2018-02-19 |
| 1013447044 | Pharmacy Investments of Lawrenceville, LLC | Pharmacy | 738 Old Norcross Road, Ste A, Lawrenceville, GA 30046 | 2017-06-13 |
| 1225577000 | Priority Housecalls LLC | Clinic/Center | 225 Scenic Hwy, Ste 200, Lawrenceville, GA 30046 | 2017-02-14 |
| Find all providers in zip 30046 | ||||
| Taxonomy Code | 2086S0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Critical Care |
| A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457866261 | Emily Gilchrist | Surgery | 1505 Northside Blvd Ste 2400, Cumming, GA 30041-7662 | 2017-12-04 |
| 1942437363 | Keneeshia Nicole Williams | Surgery | 69 Jesse Hill Jr Dr Se Fl 3, Atlanta, GA 30303-3033 | 2009-06-11 |
| 1528571320 | Savannah Multispecialty Associates, LLC | Surgery | 4700 Waters Ave Ste 400, Savannah, GA 31404-6220 | 2017-11-15 |
| 1447698220 | Kyle Matthew Thomas | Surgery | 55 Whitcher St Ne Ste 130, Marietta, GA 30060-1156 | 2013-06-13 |
| 1174966337 | Timothy John Stevens | Surgery | 1211 Sherwood Park Dr Ne Ste A, Gainesville, GA 30501-3444 | 2013-04-08 |
| 1548527450 | Deepika Koganti | Surgery | 69 Jesse Hill Jr. Drive, Sw, Glenn Memorial Bldg 3rd Fl, Atlanta, GA 30303 | 2012-04-16 |
| 1093004616 | Craig Rodney Mccready | Surgery | 201 Dowman Dr Ne, Atlanta, GA 30322-1007 | 2011-04-05 |
| 1104060144 | Caroline Butler | Surgery | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3050 | 2009-04-21 |
| 1881748234 | James Dominic Frizzi | Surgery | 3647 J Dewey Gray Cir Ste 200, Augusta, GA 30909-2205 | 2007-01-23 |
| 1235199407 | Terence Sidney Okeeffe | Surgery | 1120 15th St, Augusta, GA 30912-7208 | 2006-03-23 |
| Find all providers with the same taxonomy | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30046 |
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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.