NPIMap

Individual provider Active NPI

Nicola Presley Revills, MD

  • Family Medicine Physician
  • Columbia, SC
National Provider Identifier
1124280268
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
65784 Issued in GA
Practice address
SC House Calls Inc.
111 Doctors Cir.
Columbia, SC 29203
Phone
(800) 491-0909
NPI assigned
Jun 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Aerospace Medicine Physician 2083A0100X 65784 GA
Family Medicine Physician 207Q00000X 65784 GA Primary
Family Medicine Physician 207Q00000X 003029 GA

Addresses

Primary practice location

SC House Calls Inc.
111 Doctors Cir.
Columbia, SC 29203

Mailing address

SC House Calls Inc.
111 Doctors Cir.
Columbia, SC 29203
Phone (800) 491-0909

Other practice location 1

655 7th St Bldg 700-A78
Robins AFB, GA 31098-2227
Phone (478) 497-0353

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110914000558 GA Practitioner - Internal Medicine 3577734045 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cogent Healthcare of Georgia PCGroup PAC ID 2961483607, 252 clinicians
Hospital Medicine Services of Ga LLCGroup PAC ID 2062997505, 90 clinicians

Practice addresses (Care Compare)

1170 Cleveland Ave
East Point, GA 30344-3615
Phone (404) 466-1170

200 Industrail Blvd
Dublin, GA 31021-2981
Phone (478) 275-2000

Hospital & facility affiliations

  • Fairview Park Hospital Hospital, Dublin, GA, CCN 110125
  • Dodge County Hospital Hospital, Eastman, GA, CCN 110092

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
003029GAMDFamily Medicine Physician
65784GAMDAerospace Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Georgia, Inc CurrentSince Aug 15, 2011 Accepting new patients
Cogent Healthcare of Georgia PC Family Medicine CurrentSince Jul 21, 2019 Accepting new patients
Houston Hospitalist Group LLC CurrentSince Jan 24, 2026 Accepting new patients
The Medical Center of Central Georgia Inc Past Accepting new patients
Fairview Park, Limited Partnership Past Accepting new patients
Health Services of Central Georgia, Inc Family Medicine PastSince Aug 1, 2013 Accepting new patients
Bleckley Emergency Group LLC Past Accepting new patients

Locations

200 Industrial Blvd
Dublin, GA 31021
Phone (478) 274-3865

1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500

777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600

400 Charter Blvd
Macon, GA 31210
Phone (478) 757-6000

1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155

12125 Woodcrest Executive Dr
Ste 220
Saint Louis, MO 63141
Phone (314) 275-6100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 10

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 2

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": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1124280268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SC HOUSE CALLS INC.",
            "address_2": "111 DOCTORS CIR.",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29203",
            "telephone_number": "800-491-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SC HOUSE CALLS INC.",
            "address_2": "111 DOCTORS CIR.",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29203",
            "telephone_number": "800-491-0909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "655 7th St Bldg 700-A78",
            "address_purpose": "LOCATION",
            "city": "Robins AFB",
            "state": "GA",
            "postal_code": "310982227",
            "country_code": "US",
            "telephone_number": "478-497-0353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REVILLS",
        "first_name": "NICOLA",
        "middle_name": "PRESLEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-30",
        "last_updated": "2026-09-11",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "GA",
            "license": "65784",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "65784",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "003029",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.