Justin D Nicholson (NPI# 1457806184, PAC ID# 4486932514) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1457806184 |
| PAC ID by PECOS | 4486932514 |
| Professional Enrollment ID | I20161025001222 |
| Full Name | Justin D Nicholson |
| Organization Legal Name | NSH CANCER INSTITUTE PROFESSIONAL SERVICES G LLC |
| Address |
101 Riverstone Vis Suite 102 Blue Ridge GA 30513-6630 |
| Phone Number | 7062584140 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0840443164 |
| Number of Group Practice Members | 101 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 101 Riverstone Vis, Suite 102, Blue Ridge, GA 30513-6630 | 7062584140 | NSH CANCER INSTITUTE PROFESSIONAL SERVICES G LLC |
| 308 Coliseum Dr, Suite 120, Macon, GA 31217-3859 | 4787456130 | NSH CANCER INSTITUTE PROFESSIONAL SERVICES G LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_039_overall | Screening for Osteoporosis for Women Aged 65-85 Years of Age | 47% | |
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 84% | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 52% | |
| MIPS_EC_113_overall | Colorectal Cancer Screening | 86% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 100% | |
| MIPS_EC_134_overall | Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan | 73% |
| Organization Legal Name | NSH CANCER INSTITUTE PROFESSIONAL SERVICES G LLC |
| Physicians | 106 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Elizabeth Hill | Nurse Practitioner | Nsh Cancer Institute Professional Services G LLC | 308 Deep S Farm Rd, Suite 200, Blairsville, GA 30512-2218 |
| Ali Mohamad Sayed | Hematology/oncology | Nsh Cancer Institute Professional Services G LLC | 125 King Ave, Suite 200, Athens, GA 30606-6710 |
| Tina Marie Grall | Nurse Practitioner | Nsh Cancer Institute Professional Services G LLC | 747 S 8th St C, Griffin, GA 30224-4818 |
| Aynaddis Fekadu | Nurse Practitioner | Nsh Cancer Institute Professional Services G LLC | 698 Duluth Hwy 201, Lawrenceville, GA 30046-7648 |
| Abisola A Ajayi | Nurse Practitioner | Nsh Cancer Institute Professional Services G LLC | 5700 Hillandale Dr, Suite 250, Lithonia, GA 30058-4120 |
| Donna E Hendley | Physician Assistant | Nsh Cancer Institute Professional Services G LLC | 132 Old Norton Rd, Suite 200, Fayetteville, GA 30215-4873 |
| Kathleen E. Lambert | Hematology/oncology | Nsh Cancer Institute Professional Services G LLC | 1501 Milstead Nerd, Suite 110, Conyers, GA 30012-3849 |
| Sheila Dini | Physician Assistant | Nsh Cancer Institute Professional Services G LLC | 1045 Southcrest Dr, Stockbridge, GA 30281-6113 |
| Navneet Dhillon | Medical Oncology | Nsh Cancer Institute Professional Services G LLC | 228 Riverstone Dr, Canton, GA 30114-5256 |
| Aaron R. Alizadeh | Hematology/oncology | Nsh Cancer Institute Professional Services G LLC | 2712 Lawrenceville Hwy, Decatur, GA 30033-2512 |
| Street Address |
101 RIVERSTONE VIS SUITE 102 |
| City | BLUE RIDGE |
| State | GA |
| Zip | 30513-6630 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Camille Y Ledford | Nurse Practitioner | Hidden Valley Medical Center Inc | 101 Riverstone Vis, Suite 111, Blue Ridge, GA 30513-6665 |
| Jamie Beth Raisor | Nurse Practitioner | Skin Cancer and Cosmetic Dermatology Center PC | 101 Riverstone Vis, Suite 215, Blue Ridge, GA 30513-6665 |
| Lee Ann Tidman | Nurse Practitioner | Hidden Valley Medical Center Inc | 101 Riverstone Vis, Blue Ridge, GA 30513-6648 |
| Patrick Martin | Physician Assistant | Skin Cancer and Cosmetic Dermatology Center PC | 101 Riverstone Vis, Suite 215, Blue Ridge, GA 30513-6665 |
| Paula Watkins Millhouse | Nurse Practitioner | Hidden Valley Medical Center Inc | 101 Riverstone Vis, Blue Ridge, GA 30513-6648 |
| Philip Mills | Dermatology | Blue Ridge Dermatology | 101 Riverstone Vis, Suite 215, Blue Ridge, GA 30513-6665 |
| Coe M Mcgrath | Physician Assistant | Skin Cancer and Cosmetic Dermatology Center PC | 101 Riverstone Vis, Suite 215, Blue Ridge, GA 30513-6665 |
| Jammie Savugot | Nurse Practitioner | Skin Cancer and Cosmetic Dermatology Center PC | 101 Riverstone Vis, Suite 215, Blue Ridge, GA 30513-6665 |
| Marilyn A Williams | Nurse Practitioner | Hidden Valley Medical Center Inc | 101 Riverstone Vis, Suite 111, Blue Ridge, GA 30513-6665 |
| Shannon L Pitman | Family Medicine | Hidden Valley Medical Center Inc | 101 Riverstone Vis, Suite 211, Blue Ridge, GA 30513-6665 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Andrew Krout | Physical Therapy | North Georgia Physical Therapy | 5425 Appalachian Hwy, Suite 2, Blue Ridge, GA 30513 |
| Renee S Rimmer | Optometry | 3831 E 1st St, Blue Ridge, GA 30513 | |
| Angela Mundy Swartz | Physical Therapy | North Georgia Physical Therapy | 5425 Appalachian Hwy, Suite 2, Blue Ridge, GA 30513 |
| Brittany Northcutt | Physical Therapy | North Georgia Physical Therapy | 5425 Appalachian Hwy, Suite 2, Blue Ridge, GA 30513 |
| Michael W Darnell | Physical Therapy | North Georgia Physical Therapy | 5425 Appalachian Hwy, Suite 2, Blue Ridge, GA 30513 |
| Kristen Farist | Physical Therapy | North Georgia Physical Therapy | 5425 Appalachian Hwy, Suite 2, Blue Ridge, GA 30513 |
| Ronald T Jabaley Ii | Internal Medicine | 6 Elm St, Blue Ridge, GA 30513-2906 | |
| Kenney S Atkins | General Practice | 4799 Blue Ridge Dr, Suite 100, Blue Ridge, GA 30513-3240 | |
| Nancy E Chancey | Clinical Social Worker | 4528 Lickskillet Rd, Blue Ridge, GA 30513-3446 | |
| Joel Yagoda | Optometry | Jumpstart Fitness | 97 Commerce Dr, Blue Ridge, GA 30513-3677 |
| Find all physicians in zip 30513 | |||
| City | BLUE RIDGE |
| Zip Code | 30513 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BLUE RIDGE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Justin D Nicholson.
| 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.