Active NPI
James E. Nicholson
- Emergency Medicine Physician
- Dunn, NC
National Provider Identifier
1083716690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 23867
- Practice address
- 800 Tilghman Dr
Dunn, NC 28334-5510 - Phone
- (910) 892-7161
- NPI assigned
- Sep 3, 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 23867 | NC | Primary |
Addresses
Primary practice location
800 Tilghman Dr
Dunn, NC 28334-5510
Mailing address
PO Box 409540
Atlanta, GA 30384-9540
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | NC |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Coverage, LLC | Emergency Medicine | Current | Accepting new patients |
| North Carolina Emergency Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Wilson Emergency Physician Partners PLLC | Emergency Medicine | Current | Accepting new patients |
| United Emergency Services, Inc. | Emergency Medicine | Past | Accepting new patients |
| The Carolinas Emergency Group, PLLC | Emergency Medicine | Past | Accepting new patients |
| Carolina Coast Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| Carolina Coast Emergency Physicains, LLC | Emergency Medicine | Past | Accepting new patients |
| Emergency Coverage Services, PC | Past | Accepting new patients |
Locations
607 Beaman St
Clinton, NC 28328
Phone (910) 590-8729
500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227
615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699
1705 Tarboro St SW
Wilson, NC 27893
Phone (252) 399-8040
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Laurinburg, NC
- NPI 1003861386
-
- Emergency Medicine Physician
- Wilson, NC
- NPI 1851526644
-
- Emergency Medicine Physician
- Dunn, NC
- NPI 1164539102
-
- Emergency Medicine Physician
- Clinton, NC
- NPI 1972610988
-
- Emergency Medicine Physician
- Dunn, NC
- NPI 1477508836
-
- Nurse Practitioner
- Lawrenceburg, TN
- NPI 1053351593
-
- Emergency Medicine Physician
- Booneville, MS
- NPI 1326007915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083716690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 409540",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303849540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 TILGHMAN DR",
"city": "DUNN",
"state": "NC",
"postal_code": "283345510",
"telephone_number": "910-892-7161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLSON",
"first_name": "JAMES",
"middle_name": "E.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NC",
"license": "23867",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dunn, NC
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.