Randall W. Nichols M D , PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

9258 Issued in AL

Legal business name

RANDALL W. NICHOLS M D , PC

Practice address

112 Haven Dr
Suite 2
Dothan, AL 36301-2957

Phone

(334) 677-6220

NPI assigned

Apr 7, 2009

Organization subpart

No

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

Authorized official

Name

Geraldine Lewis

Title

Office Manager

Phone

(334) 677-6220

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Randall Wayne Nichols, M.D.

  • Surgery Physician
  • Dothan, AL
  • NPI 1518055334
  NPD (past)

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

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239062400000",
    "number": "1164665188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 HAVEN DR",
            "address_2": "SUITE 2",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363012957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 HAVEN DR",
            "address_2": "SUITE 2",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363012957",
            "telephone_number": "334-677-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALL W. NICHOLS M D , PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-07",
        "last_updated": "2009-04-07",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "GERALDINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "334-677-6220"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "AL",
            "license": "9258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vikram Iengar Ram, MD
• Lisa Turner Rambo, LPC
• Franchesca Marie Ramirez Castillo, MD
• Jose Fausto Ramirez Porres, MD
• Michael J. Ramsey, M.D.
• Christopher David Randall Jr.
• Ashley Leigh Rane, PA-C
• Abbey Rankin
• Rao Heart & Vascular LLC
• Faye E Rao, MD

• Surgery Physician in Dothan, AL
• Providers in Dothan, AL by specialty
• Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.