Individual provider Active NPI

Nicklaus Brian Childers, NP-C

  • Family Nurse Practitioner
  • Columbus, GA
National Provider Identifier
1093036725
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP176292 Issued in GA
Practice address
6262 Veterans Pkwy
Columbus, GA 31909
Phone
(706) 324-6661
Fax
(706) 494-3235
NPI assigned
Jun 16, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-116752 AL
Registered Nurse First Assistant 163WR0006X RN176292 GA
Family Nurse Practitioner 363LF0000X APRN-NP176292 GA Primary
Registered Nurse First Assistant 163WR0006X 1-116752 AL

Addresses

Primary practice location

6262 Veterans Pkwy
Columbus, GA 31909

Mailing address

PO Box 370
Fortson, GA 31808-0370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180820002328 AL Practitioner - Nurse Practitioner 7719236090 Reassigns benefits to 1 organization
I20180820002426 GA Practitioner - Nurse Practitioner 7719236090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hughston Clinic PCGroup PAC ID 1355254780, 111 clinicians

Practice addresses (Care Compare)

161 E University Dr
Auburn, AL 36832-5889
Phone (334) 826-2090

6262 Veterans Pkwy
Unit B
Columbus, GA 31909-3540
Phone (706) 494-3434

Hospital & facility affiliations

  • Jack Hughston Memorial Hospital Hospital, Phenix City, AL, CCN 010168

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN-NP176292GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hughston Clinic, PC CurrentSince Jun 26, 2018 Accepting new patients
Hughston Clinic, P.C. CurrentSince Jun 26, 2018 Accepting new patients
Hughston Medical Group, PC Past Accepting new patients

Locations

161 E University Dr
Auburn, AL 36832
Phone (334) 699-5747

512 N Shady Ln
Dothan, AL 36303
Phone (334) 669-5747

2257 Taylor Rd
Montgomery, AL 36117
Phone (334) 245-6605

128 Mitylene Park Ln
Ste A
Montgomery, AL 36117

4401 Riverchase Dr
Phenix City, AL 36867
Phone (334) 732-3000

2548 Weems Rd
Columbus, GA 31909
Phone (404) 265-4000

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

6262 Veterans Pkwy
Columbus, GA 31909
Phone (706) 494-3071

6262 Veterans Pkwy
Unit B
Columbus, GA 31909
Phone (706) 494-3434

100 Frist Ct
Columbus, GA 31909
Phone (706) 494-2100

2000 10th Ave
Ste 270
Columbus, GA 31901
Phone (706) 571-1011

107 Calumet Center Rd
Lagrange, GA 30241
Phone (706) 884-3274

1514 Vernon Rd
Lagrange, GA 30240
Phone (706) 812-2369

117 Oakland Pkwy
Leesburg, GA 31763
Phone (229) 420-1839

100 N Macon St
Macon, GA 31210
Phone (478) 200-6970

Interoperability endpoints

  • Direct secure messaging: nicklaus.childers.1@321.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1276646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1093036725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "FORTSON",
            "state": "GA",
            "postal_code": "318080370",
            "fax_number": "706-494-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6262 VETERANS PKWY",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "31909",
            "telephone_number": "706-324-6661",
            "fax_number": "706-494-3235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDERS",
        "first_name": "NICKLAUS",
        "middle_name": "BRIAN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-16",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-116752",
            "primary": false
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "GA",
            "license": "RN176292",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP176292",
            "primary": true
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "AL",
            "license": "1-116752",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.