Lindsey Panter Niknezhad, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

8087 Issued in GA

Practice address

101 Riverstone Vis
Blue Ridge, GA 30513-6648

Phone

(706) 632-4400

NPI assigned

Sep 1, 2016

Last updated

Jan 9, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lniknezh@yourcarecommunity.org

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.

• Riverstonemd PC

  • Family Medicine Physician
  • Blue Ridge, GA
  • NPI 1902943921
  NPD
• Blue Ridge Concierge Medicine LLC

  • Family Medicine Physician
  • Blue Ridge, GA
  • NPI 1013504174
  NPD (past)

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483920000000",
    "number": "1194272542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 RIVERSTONE VIS",
            "address_2": "STE 203",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "305136668",
            "telephone_number": "706-258-4142",
            "fax_number": "706-633-6451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 RIVERSTONE VIS",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "305136648",
            "telephone_number": "706-632-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIKNEZHAD",
        "first_name": "LINDSEY",
        "middle_name": "PANTER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2017-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "8087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Neilsen, MD
• New Ground Care LLC
• Michael Newberry, M.D.
• Amanda M Newton, M.D.
• Justin Doyle Nicholson, NP-C
• North Georgia Autism Foundation Inc
• North Georgia Physical Therapy
• Brittany Swafford Northcutt, PT, DPT
• Tori Amelia Norton
• NSH Cancer Institute Professional Services G LLC

• Medical Physician Assistant in Blue Ridge, GA
• Providers in Blue Ridge, GA by specialty
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; 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.