Individual provider Active NPI

James C Nichols, P.A.-C.

  • Surgical Physician Assistant
  • Pinehurst, NC
National Provider Identifier
1043241763
Registry record updated Sep 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
100825 Issued in NC
Practice address
5 Firstvillage Drive
Pinehurst, NC 28374
Phone
(910) 295-6831
Fax
(910) 295-0244
NPI assigned
Jul 5, 2006
Last updated
Sep 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 100825 NC Primary

Addresses

Primary practice location

5 Firstvillage Drive
Pinehurst, NC 28374

Mailing address

5 Firstvillage Drive
PO Box 2000
Pinehurst, NC 28374
Phone (910) 295-6831

Other practice location 1

4 Turnberry Wood
Braemar Ct
Pinehurst, NC 28374
Phone (910) 692-3144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070515000652 NC Practitioner - Physician Assistant 5193822773 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCPC-9 LLCGroup PAC ID 1658526710, 57 clinicians
Proactive Therapy of North Carolina IncGroup PAC ID 6305753120, shared by 5 NPIs, 540 clinicians
Pinehurst Surgical Clinic PAGroup PAC ID 4587561394, 92 clinicians

Practice addresses (Care Compare)

155 Memorial Dr
Pinehurst, NC 28374-8710

2303 Wellington Dr SW
Suite B
Wilson, NC 27893-8620
Phone (252) 243-6818

2919 Beechtree Dr
Sanford, NC 27330-6934

5 1St Village Dr
Pinehurst, NC 28374-9495
Phone (910) 295-6831

809 S Long Dr
Rockingham, NC 28379-4377
Phone (910) 417-4096

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
100825NCMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pinehurst Surgical Clinic PA CurrentSince Jul 17, 2012 Accepting new patients
Firsthealth of the Carolinas, Inc Past Accepting new patients
Sandhills Ortho & Spine Holdings, PLLC Past Accepting new patients
Sandhills Orthopaedic and Spine Clinic, PA Past Accepting new patients
FHPG, LLC Past Accepting new patients

Locations

3716 Morganton Rd
Ste 1
Fayetteville, NC 28303
Phone (910) 715-8700

1705 Berwick Dr
Ste B
Laurinburg, NC 28352
Phone (910) 277-0509

521 Lauchwood Dr
Laurinburg, NC 28352
Phone (910) 276-1702

155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000

5 First Village Dr
Pinehurst, NC 28374
Phone (910) 235-2713

6322 Fayetteville Rd
Raeford, NC 28376
Phone (910) 878-6700

809 S Long Dr
Ste K
Rockingham, NC 28379
Phone (910) 417-4090

921 S Long Dr
Ste 208
Rockingham, NC 28379
Phone (910) 417-3396

205 Pavilion Way
Southern Pines, NC 28387
Phone (910) 235-2713

205 Pavilion Way
Ste 100
Southern Pines, NC 28387

300 Pavilion Way
Southern Pines, NC 28387
Phone (910) 295-0243

522 Allen St
Troy, NC 27371
Phone (910) 571-5170

Interoperability endpoints

  • Direct secure messaging: jamesnichols@fhss.allscriptsdirect.net
  • Direct secure messaging: jamesnichols@psc.allscriptsdirect.net

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537142400000",
    "number": "1043241763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 FIRSTVILLAGE DRIVE",
            "address_2": "PO BOX 2000",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "28374",
            "telephone_number": "910-295-6831",
            "fax_number": "910-295-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 FIRSTVILLAGE DRIVE",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "28374",
            "telephone_number": "910-295-6831",
            "fax_number": "910-295-0244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Turnberry Wood",
            "address_2": "Braemar Ct",
            "address_purpose": "LOCATION",
            "city": "Pinehurst",
            "state": "NC",
            "postal_code": "28374",
            "country_code": "US",
            "telephone_number": "910-692-3144",
            "fax_number": "910-692-2261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "JAMES",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2018-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NC",
            "license": "100825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinehurst, NC

Sources for this page

Verify at the official NPI Registry.