Active NPI
Stephen Wayne Nichols, DC
- Chiropractor
- Hartwell, GA
National Provider Identifier
1033275094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1807
- Practice address
- 166 Athens St
Hartwell, GA 30643-1851 - Phone
- (706) 376-7183
- Fax
- (706) 376-7184
- NPI assigned
- Dec 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1807 | GA | Primary |
Addresses
Primary practice location
166 Athens St
Hartwell, GA 30643-1851
Mailing address
166 Athens St
Hartwell, GA 30643-1851
Phone (706) 376-7183
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1807 | GA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033275094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "166 ATHENS ST",
"city": "HARTWELL",
"state": "GA",
"postal_code": "306431851",
"telephone_number": "706-376-7183",
"fax_number": "706-376-7184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "166 ATHENS ST",
"city": "HARTWELL",
"state": "GA",
"postal_code": "306431851",
"telephone_number": "706-376-7183",
"fax_number": "706-376-7184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLS",
"first_name": "STEPHEN",
"middle_name": "WAYNE",
"name_prefix": "Mr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "1807",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hartwell, GA
- Medlink Georgia, Inc (MedLink Pharmacy - Hartwell)
- Jennifer Meeks, FNP-C
- Erin Elizabeth Moon, R.N.
- John Lee Moorhead, R.PH.
- Vincent Nick Musso Jr., CRNA
- Gregory Nix, PA-C
- Northeast Georgia Eyecare LLC (NE GA Eyecare)
- Derek Spencer Osborne
- Steven Daniel Phillips, PHARM. D.
- Quinn Physical Therapy Services LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.