Joe Daniel Nichols Jr. (NPI# 1619080561, PAC ID# 0840329801) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1619080561 |
| PAC ID by PECOS | 0840329801 |
| Professional Enrollment ID | I20100831000455 |
| Full Name | Joe Daniel Nichols Jr. |
| Organization Legal Name | EAST TEXAS BORDER HEALTH CLINIC |
| Address |
1011 S William St Genesis Primcare Atlanta TX 75551-3245 |
| Phone Number | 9037962868 |
| Gender | M |
| Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 1966 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8820038565 |
| Number of Group Practice Members | 31 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450801 | CHRISTUS ST MICHAEL HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 1011 S William St, Genesis Primcare, Atlanta, TX 75551-3245 | 9037962868 | EAST TEXAS BORDER HEALTH CLINIC |
| Organization Legal Name | EAST TEXAS BORDER HEALTH CLINIC |
| Physicians | 38 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura Moore | Nurse Practitioner | East Texas Border Health Clinic | 805 Lindsey Dr, Marshall, TX 75670-5271 |
| Porscha Nicole Branch | Nurse Practitioner | East Texas Border Health Clinic | 4077 Jefferson Ave, Texarkana, AR 71854-1509 |
| Lindsey L Montgomery | Clinical Social Worker | East Texas Border Health Clinic | 618 S Grove St, Suite 100and300, Marshall, TX 75670-5294 |
| Whitney P Rosenbaum | Clinical Social Worker | East Texas Border Health Clinic | 1205 E 35th St, Genesis Primecare, Texarkana, AR 71854-2746 |
| Antonio D Ingram | Nurse Practitioner | East Texas Border Health Clinic | 1400 College Dr, Suite 204, Texarkana, TX 75503-3575 |
| Tiffany L Griffin | Nurse Practitioner | East Texas Border Health Clinic | 1011 S William St, Genesis Primcare, Atlanta, TX 75551-3245 |
| Jay W Harvey | Family Medicine | East Texas Border Health Clinic | 811 S Washington Ave, Genesis Primecare, Marshall, TX 75670-5336 |
| Kari L Kennel | Nurse Practitioner | East Texas Border Health Clinic | 2131 S Mobberly Ave, Longview, TX 75602-3563 |
| Nita Ann Little | Nurse Practitioner | East Texas Border Health Clinic | 106 N Alley St, Genesis Primcare, Jefferson, TX 75657-1408 |
| Lloyd M Fruge | Family Medicine | East Texas Border Health Clinic | 1011 S William St, Genesis Primcare, Atlanta, TX 75551-3245 |
| Street Address |
1011 S WILLIAM ST GENESIS PRIMCARE |
| City | ATLANTA |
| State | TX |
| Zip | 75551-3245 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tiffany L Griffin | Nurse Practitioner | East Texas Border Health Clinic | 1011 S William St, Genesis Primcare, Atlanta, TX 75551-3245 |
| Lloyd M Fruge | Family Medicine | East Texas Border Health Clinic | 1011 S William St, Genesis Primcare, Atlanta, TX 75551-3245 |
| Melanie A Stone | Nurse Practitioner | East Texas Border Health Clinic | 1011 S William St, Genesis Primcare, Atlanta, TX 75551-3245 |
| Jared C Anderson | Clinical Social Worker | East Texas Border Health Clinic | 1011 S William St, Genesis Primcare, Atlanta, TX 75551-3245 |
| Stephen K Erlewine | Nurse Practitioner | East Texas Border Health Clinic | 1011 S William St, Genesis Primcare, Atlanta, TX 75551-3245 |
| Sunnie Hooten | Nurse Practitioner | East Texas Border Health Clinic | 1011 S William St, Genesis Primcare, Atlanta, TX 75551-3245 |
| Kristen L Coats | Nurse Practitioner | East Texas Border Health Clinic | 1011 S William St, Atlanta, TX 75551-3245 |
| Antoinette Riley | Nurse Practitioner | East Texas Border Health Clinic | 1011 S William St, Atlanta, TX 75551-3245 |
| Yvonne Fellers | Clinical Social Worker | East Texas Border Health Clinic | 1011 S William St, Atlanta, TX 75551-3245 |
| Matthew G Allred | Nurse Practitioner | East Texas Border Health Clinic | 1011 S William St, Atlanta, TX 75551-3245 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James G Harold | Psychiatry | Sabine Valley Regional Mhmr Center | 1008 N Louise St, Community Healtcore Atlanta Clini, Atlanta, TX 75551-1614 |
| John Colin Culbertson | Physician Assistant | Healthcare Express LLP | 106 Us Hwy 59, Atlanta, TX 75551-2010 |
| Darrell G Frost | Chiropractic | 1001 W Main St, Atlanta, TX 75551-2021 | |
| Edward T Okelley | Family Medicine | Hospitalist Medicine Physicians of Texas Pllc | 1007 S William St, Atlanta Memorial Hospital, Atlanta, TX 75551-3245 |
| Stephen B Glenn | Hospitalist | Hospitalist Medicine Physicians of Texas Pllc | 1007 S William St, Atlanta Memorial Hospital, Atlanta, TX 75551-3245 |
| Irwin B Price Iv | Family Medicine | Texas Emergency Staffing Solutions Pa | 1007 S William St, Christus St. Michael Hospital, Atlanta, TX 75551-3245 |
| Richard L Hozdic Ii | Family Medicine | Hospitalist Medicine Physicians of Texas Pllc | 1007 S William St, Atlanta Memorial Hospital, Atlanta, TX 75551-3245 |
| Matthew J Hogan | Family Medicine | Hospitalist Medicine Physicians of Texas Pllc | 1007 S William St, Atlanta Memorial Hospital, Atlanta, TX 75551-3245 |
| Terry D Foster | Optometry | Family Eye Care Clinic PC | 719 W Main St, Atlanta, TX 75551-3425 |
| Adam Randal Cox | Optometry | Family Eye Care Clinic PC | 719 W Main St, Atlanta, TX 75551-3425 |
| Find all physicians in zip 75551 | |||
| City | ATLANTA |
| Zip Code | 75551 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ATLANTA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Joe Daniel Nichols Jr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.